Suzanne Bernadette Reecer PA

NPI 1467635946 - Physician Assistant - 363A00000X

NPI Details
NPI 1467635946
Gender Female
Enumeration Date 12/07/2007
Last Updated 12/07/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
7333 W JEFFERSON BLVD
FORT WAYNE IN, 46804-6280, US
Phone (260) 435-7334
Fax
Business Location
7333 W JEFFERSON BLVD
FORT WAYNE IN, 46804-6280, US
Phone (260) 435-7334
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Indiana
License Number 10000959A
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According to our database, Suzanne Bernadette Reecer PA NPI is 1467635946, taxonomy code is 363A00000X and license number is 10000959A, license state is located at Indiana. Suzanne Bernadette Reecer PA physically located at 7333 W Jefferson Blvd, Fort Wayne IN, 46804-6280. NPI Number Suzanne Bernadette Reecer PA has the Individual type.

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1467635946 NPI number is provided on an as is basis without warranty of any kind. 1467635946 is maintained by the National Plan & Provider Enumeration System. The contents of Suzanne Bernadette Reecer PA are for informational purposes only.