Kimberly A Dimock PA-C

NPI 1760691026 - Physician Assistant - 363A00000X

NPI Details
NPI 1760691026
Gender Female
Enumeration Date 05/22/2007
Last Updated 03/25/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
1080 S VAN DYKE RD
SUITE B
BAD AXE MI, 48413-9635, US
Phone (989) 269-6048
Fax (989) 269-6174
Business Location
1080 S VAN DYKE RD
SUITE B
BAD AXE MI, 48413-9635, US
Phone (989) 269-6048
Fax (989) 269-6174
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 3528
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According to our database, Kimberly A Dimock PA-C NPI is 1760691026, taxonomy code is 363A00000X and license number is 3528, license state is located at Arizona. Kimberly A Dimock PA-C physically located at 1080 S Van Dyke Rd, Bad Axe MI, 48413-9635. NPI Number Kimberly A Dimock PA-C has the Individual type.

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1760691026 NPI number is provided on an as is basis without warranty of any kind. 1760691026 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly A Dimock PA-C are for informational purposes only.