Individual provider · Type 1 NPI
Michael W. Selby, PA-C
Surgical Physician Assistant · Broomall, PA
NPI number
1942723671
Active
Practice location
2004 Sproul Rd
Broomall, PA 19008-3511
Fax (610) 353-9480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA059159 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1942723671
Michael W. Selby, PA-C's National Provider Identifier is 1942723671, issued on Jul 25, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Broomall, PA. The record was last updated on Jul 25, 2017.