Individual provider · Type 1 NPI
Carleta Poydras, PA-C
Surgical Physician Assistant · Detroit, MI
NPI number
1922348184
Active
Practice location
6071 W Outer Dr, Joint Excel Plus Orthopedic Clinic
Detroit, MI 48235-2624
Fax (313) 966-9510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | 560106069 (MI) |
Surgical Physician Assistant: Definition to come...
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About NPI 1922348184
Carleta Poydras, PA-C's National Provider Identifier is 1922348184, issued on Feb 26, 2013. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Detroit, MI. The record was last updated on Feb 26, 2013.