Lucille Gough Passer PA-C

NPI 1750470878 - Physician Assistant - 363AM0700X

NPI Details
NPI 1750470878
Gender Female
Enumeration Date 10/12/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4100 GOSS RD
FOX ARMY HEALTH CENTER, PRIMARY CARE 1
REDSTONE ARSENAL AL, 35809-7000, US
Phone (256) 955-8888
Fax (256) 313-3260
Business Location
4100 GOSS RD
FOX ARMY HEALTH CENTER, CREDENTIALS COORDINATOR
REDSTONE ARSENAL AL, 35809-7000, US
Phone (256) 955-6492
Fax (256) 842-2019
Toxanomy
Taxonomy Code 363AM0700X
License State Alabama
License Number PA-362
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According to our database, Mrs. Lucille Gough Passer PA-C NPI is 1750470878, taxonomy code is 363AM0700X and license number is PA-362, license state is located at Alabama. Lucille Gough Passer PA-C physically located at 4100 Goss Rd, Redstone Arsenal AL, 35809-7000. NPI Number Lucille Gough Passer PA-C has the Individual type.

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1750470878 NPI number is provided on an as is basis without warranty of any kind. 1750470878 is maintained by the National Plan & Provider Enumeration System. The contents of Lucille Gough Passer PA-C are for informational purposes only.