Individual provider · Type 1 NPI

Patrick Tye Creasy, PA

Medical Physician Assistant · Colton, CA

NPI number 1992000574 Active

Practice location

900 E Washington St, Suite 301
Colton, CA 92324-7111

Fax (909) 370-0303

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA21414 (CA)
Surgical Physician Assistant 363AS0400XPA21414 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1992000574

Patrick Tye Creasy, PA's National Provider Identifier is 1992000574, issued on Jan 12, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Colton, CA. The record was last updated on Oct 8, 2013.