Philip Maximilian Dayvault PA

NPI 1003053935 - Physician Assistant - 363A00000X

NPI Details
NPI 1003053935
Gender Male
Enumeration Date 01/14/2009
Last Updated 11/26/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
SALISBURY NC, 28144-6277, US
Phone (704) 638-9990
Fax (704) 639-0785
Business Location
1718 E 4TH ST
CHARLOTTE NC, 28204-3261, US
Phone (704) 638-9990
Fax (704) 639-0785
Taxonomy Code 363A00000X
License State North Carolina
License Number 0010-01670
Remove 1003053935 NPI Number

According to our database, Mr. Philip Maximilian Dayvault PA NPI is 1003053935, taxonomy code is 363A00000X and license number is 0010-01670, license state is located at North Carolina. Philip Maximilian Dayvault PA physically located at 1035 Lincolnton Rd, Salisbury NC, 28144-6277. NPI Number Philip Maximilian Dayvault PA has the Individual type.

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1003053935 NPI number is provided on an as is basis without warranty of any kind. 1003053935 is maintained by the National Plan & Provider Enumeration System. The contents of Philip Maximilian Dayvault PA are for informational purposes only.