Kerri Danielle St. George PA

NPI 1114031739 - Physician Assistant - 363A00000X

NPI Details
NPI 1114031739
Gender Female
Enumeration Date 08/19/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3455 MAIN ST
SUITE 7
SPRINGFIELD MA, 01107-1147, US
Phone (413) 732-1699
Fax (413) 781-2319
Business Location
3455 MAIN ST
SUITE 7
SPRINGFIELD MA, 01107-1147, US
Phone (413) 732-1699
Fax (413) 781-2319
Toxanomy
Taxonomy Code 363A00000X
License State Massachusetts
License Number 1326
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According to our database, Ms. Kerri Danielle St. George PA NPI is 1114031739, taxonomy code is 363A00000X and license number is 1326, license state is located at Massachusetts. Kerri Danielle St. George PA physically located at 3455 Main St, Springfield MA, 01107-1147. NPI Number Kerri Danielle St. George PA has the Individual type.

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1114031739 NPI number is provided on an as is basis without warranty of any kind. 1114031739 is maintained by the National Plan & Provider Enumeration System. The contents of Kerri Danielle St. George PA are for informational purposes only.