Stacy R Bromley PA-C

NPI 1740340884 - Physician Assistant - 363AM0700X

NPI Details
NPI 1740340884
Gender Female
Enumeration Date 12/11/2006
Last Updated 12/02/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4039 HIGHLAND ST
MILAN TN, 38358-3483, US
Phone (731) 686-8995
Fax (731) 686-8997
Business Location
PO BOX 400
JACKSON TN, 38302-0400, US
Phone (731) 425-5752
Fax (513) 981-5015
Toxanomy
Taxonomy Code 363AM0700X
License State Kentucky
License Number PA558
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According to our database, Stacy R Bromley PA-C NPI is 1740340884, taxonomy code is 363AM0700X and license number is PA558, license state is located at Kentucky. Stacy R Bromley PA-C physically located at 4039 Highland St, Milan TN, 38358-3483. NPI Number Stacy R Bromley PA-C has the Individual type.

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1740340884 NPI number is provided on an as is basis without warranty of any kind. 1740340884 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy R Bromley PA-C are for informational purposes only.