Alfred W. O'daire JR. PA-C

NPI 1831184803 - Physician Assistant - 363AM0700X

NPI Details
NPI 1831184803
Gender Male
Enumeration Date 09/15/2005
Last Updated 09/04/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
511 BELFIELD DR.
EMPORIA VA, 23847, US
Phone (434) 348-4680
Fax (434) 336-0014
Business Location
511 BELFIELD DR.
EMPORIA VA, 23847, US
Phone (434) 348-4680
Fax (434) 336-0014
Toxanomy
Taxonomy Code 363AM0700X
License State Virginia
License Number 0110840276
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According to our database, Alfred W. O'daire JR. PA-C NPI is 1831184803, taxonomy code is 363AM0700X and license number is 0110840276, license state is located at Virginia. Alfred W. O'daire JR. PA-C physically located at 511 Belfield Dr., Emporia VA, 23847. NPI Number Alfred W. O'daire JR. PA-C has the Individual type.

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1831184803 NPI number is provided on an as is basis without warranty of any kind. 1831184803 is maintained by the National Plan & Provider Enumeration System. The contents of Alfred W. O'daire JR. PA-C are for informational purposes only.