William Ennis JR. P.A.

NPI 1407199706 - Physician Assistant - 363AS0400X

NPI Details
NPI 1407199706
Gender Male
Enumeration Date 04/04/2013
Last Updated 06/18/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
6507 DEER POINTE DR
SALISBURY MD, 21804-1667, US
Phone (410) 543-9332
Fax (410) 543-9237
Business Location
6507 DEER POINTE DR
SALISBURY MD, 21804-1667, US
Phone (410) 543-9332
Fax (410) 543-9237
Toxanomy
Taxonomy Code 363AS0400X
License State Maryland
License Number C05019
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According to our database, William Ennis JR. P.A. NPI is 1407199706, taxonomy code is 363AS0400X and license number is C05019, license state is located at Maryland. William Ennis JR. P.A. physically located at 6507 Deer Pointe Dr, Salisbury MD, 21804-1667. NPI Number William Ennis JR. P.A. has the Individual type.

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1407199706 NPI number is provided on an as is basis without warranty of any kind. 1407199706 is maintained by the National Plan & Provider Enumeration System. The contents of William Ennis JR. P.A. are for informational purposes only.