John Paul Tennis PHYSICIAN ASSISTANT

NPI 1376667063 - Physician Assistant - 363A00000X

NPI Details
NPI 1376667063
Gender Male
Enumeration Date 03/19/2007
Last Updated 04/25/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
34800 BOB WILSON DR
SAN DIEGO CA, 92134-1098, US
Phone (760) 339-2674
Fax
Business Location
10210 WATERIDGE CIR
UNIT UNIT 164
SAN DIEGO CA, 92121-5751, US
Phone (858) 829-7102
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number 1117331
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According to our database, Mr. John Paul Tennis PHYSICIAN ASSISTANT NPI is 1376667063, taxonomy code is 363A00000X and license number is 1117331, license state is located at California. John Paul Tennis PHYSICIAN ASSISTANT physically located at 34800 Bob Wilson Dr, San Diego CA, 92134-1098. NPI Number John Paul Tennis PHYSICIAN ASSISTANT has the Individual type.

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1376667063 NPI number is provided on an as is basis without warranty of any kind. 1376667063 is maintained by the National Plan & Provider Enumeration System. The contents of John Paul Tennis PHYSICIAN ASSISTANT are for informational purposes only.