Orry J Marciano II PA

NPI 1194808519 - Physician Assistant - 363A00000X

NPI Details
NPI 1194808519
Gender Male
Enumeration Date 10/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
5030 CAMINO DE LA SIESTA
#208
SAN DIEGO CA, 92108-3117, US
Phone (858) 373-2444
Fax (619) 260-6307
Business Location
5030 CAMINO DE LA SIESTA
#208
SAN DIEGO CA, 92108-3117, US
Phone (858) 373-2444
Fax (619) 260-6307
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA17886
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According to our database, Orry J Marciano II PA NPI is 1194808519, taxonomy code is 363A00000X and license number is PA17886, license state is located at California. Orry J Marciano II PA physically located at 5030 Camino De La Siesta, San Diego CA, 92108-3117. NPI Number Orry J Marciano II PA has the Individual type.

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1194808519 NPI number is provided on an as is basis without warranty of any kind. 1194808519 is maintained by the National Plan & Provider Enumeration System. The contents of Orry J Marciano II PA are for informational purposes only.