Individual provider · Type 1 NPI
Donald Gordon Ewens Iii, PA-C
Medical Physician Assistant · Moreno Valley, CA
NPI number
1831635168
Active
Practice location
26520 Cactus Ave
Moreno Valley, CA 92555-3927
Mailing address
7331 Shelby Pl Apt 141
Rancho Cucamonga, CA 91739-5914
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 54142 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1831635168
Donald Gordon Ewens Iii, PA-C's National Provider Identifier is 1831635168, issued on Jan 10, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Moreno Valley, CA. The record was last updated on Dec 3, 2021.