Stephen Andrew Fall PA-C

NPI 1760594154 - Physician Assistant - 363A00000X

NPI Details
NPI 1760594154
Gender Male
Enumeration Date 08/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1335 COFFEE RD STE 100
MODESTO CA, 95355-3192, US
Phone (209) 524-4438
Fax
Business Location
3838 NORTH AVE
MODESTO CA, 95358-8936, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA16550
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According to our database, Stephen Andrew Fall PA-C NPI is 1760594154, taxonomy code is 363A00000X and license number is PA16550, license state is located at California. Stephen Andrew Fall PA-C physically located at 1335 Coffee Rd Ste 100, Modesto CA, 95355-3192. NPI Number Stephen Andrew Fall PA-C has the Individual type.

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1760594154 NPI number is provided on an as is basis without warranty of any kind. 1760594154 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Andrew Fall PA-C are for informational purposes only.