Trisha Jean Agle PA-C

NPI 1962568444 - Physician Assistant - 363AM0700X

NPI Details
NPI 1962568444
Gender Female
Enumeration Date 12/29/2006
Last Updated 06/04/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
4402 CHURCHMAN AVE
SUITE 300
LOUISVILLE KY, 40215-1190, US
Phone (502) 363-0588
Fax (502) 363-0972
Business Location
100 E LIBERTY ST
SUITE 800
LOUISVILLE KY, 40202-1434, US
Phone (502) 363-0588
Fax (502) 363-0972
Toxanomy
Taxonomy Code 363AM0700X
License State Texas
License Number PA04863
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According to our database, Trisha Jean Agle PA-C NPI is 1962568444, taxonomy code is 363AM0700X and license number is PA04863, license state is located at Texas. Trisha Jean Agle PA-C physically located at 4402 Churchman Ave, Louisville KY, 40215-1190. NPI Number Trisha Jean Agle PA-C has the Individual type.

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1962568444 NPI number is provided on an as is basis without warranty of any kind. 1962568444 is maintained by the National Plan & Provider Enumeration System. The contents of Trisha Jean Agle PA-C are for informational purposes only.