Harley Opperman PA-C

NPI 1093936569 - Physician Assistant - 363A00000X

NPI Details
NPI 1093936569
Gender Male
Enumeration Date 05/01/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3501 W OSBORN RD
PHOENIX AZ, 85019-4037, US
Phone (602) 272-7676
Fax
Business Location
11160 W CINNEBAR AVE
SUN CITY AZ, 85351-4350, US
Phone (602) 272-7676
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 1993
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According to our database, Harley Opperman PA-C NPI is 1093936569, taxonomy code is 363A00000X and license number is 1993, license state is located at Arizona. Harley Opperman PA-C physically located at 3501 W Osborn Rd, Phoenix AZ, 85019-4037. NPI Number Harley Opperman PA-C has the Individual type.

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1093936569 NPI number is provided on an as is basis without warranty of any kind. 1093936569 is maintained by the National Plan & Provider Enumeration System. The contents of Harley Opperman PA-C are for informational purposes only.