David Wayne Clendenin PHYSICIAN ASSISTANT

NPI 1649440306 - Physician Assistant - 363A00000X

NPI Details
NPI 1649440306
Gender Male
Enumeration Date 03/08/2008
Last Updated 03/08/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1403 HIGHLAND AVE
MELBOURNE FL, 32935-6518, US
Phone (321) 751-1414
Fax (321) 751-1436
Business Location
1403 HIGHLAND AVE
MELBOURNE FL, 32935-6518, US
Phone (321) 751-1414
Fax (321) 751-1436
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA9101228
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According to our database, David Wayne Clendenin PHYSICIAN ASSISTANT NPI is 1649440306, taxonomy code is 363A00000X and license number is PA9101228, license state is located at Florida. David Wayne Clendenin PHYSICIAN ASSISTANT physically located at 1403 Highland Ave, Melbourne FL, 32935-6518. NPI Number David Wayne Clendenin PHYSICIAN ASSISTANT has the Individual type.

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1649440306 NPI number is provided on an as is basis without warranty of any kind. 1649440306 is maintained by the National Plan & Provider Enumeration System. The contents of David Wayne Clendenin PHYSICIAN ASSISTANT are for informational purposes only.