Tarsy Shordon PA-C

NPI 1083921472 - Physician Assistant - 363A00000X

NPI Details
NPI 1083921472
Gender Male
Enumeration Date 09/07/2010
Last Updated 09/07/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
2015 BIRCH RD
SUITE 509
CHULA VISTA CA, 91915-2002, US
Phone (619) 216-0842
Fax
Business Location
2015 BIRCH RD
SUITE 509
CHULA VISTA CA, 91915-2002, US
Phone (619) 216-0842
Fax
Toxanomy
Taxonomy Code 363A00000X
License State California
License Number PA20685
Remove 1083921472 NPI Number
 

According to our database, Mr. Tarsy Shordon PA-C NPI is 1083921472, taxonomy code is 363A00000X and license number is PA20685, license state is located at California. Tarsy Shordon PA-C physically located at 2015 Birch Rd, Chula Vista CA, 91915-2002. NPI Number Tarsy Shordon PA-C has the Individual type.

Sponsored links

1083921472 NPI number is provided on an as is basis without warranty of any kind. 1083921472 is maintained by the National Plan & Provider Enumeration System. The contents of Tarsy Shordon PA-C are for informational purposes only.