Nathan Sayre PA

NPI 1376731455 - Physician Assistant - 363A00000X

NPI Details
NPI 1376731455
Gender Male
Enumeration Date 10/14/2007
Last Updated 06/15/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
640 JACKSON ST
MC11102F
SAINT PAUL MN, 55101-2502, US
Phone (651) 254-5216
Fax
Business Location
640 JACKSON ST
MC11102F
SAINT PAUL MN, 55101-2502, US
Phone (651) 254-5216
Fax
Toxanomy
Taxonomy Code 363A00000X
License State New York
License Number 011997-1
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According to our database, Nathan Sayre PA NPI is 1376731455, taxonomy code is 363A00000X and license number is 011997-1, license state is located at New York. Nathan Sayre PA physically located at 640 Jackson St, Saint Paul MN, 55101-2502. NPI Number Nathan Sayre PA has the Individual type.

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1376731455 NPI number is provided on an as is basis without warranty of any kind. 1376731455 is maintained by the National Plan & Provider Enumeration System. The contents of Nathan Sayre PA are for informational purposes only.