William James Aderhold JR. PA

NPI 1003975707 - Physician Assistant - 363A00000X

NPI Details
NPI 1003975707
Gender Male
Enumeration Date 12/08/2006
Last Updated 02/11/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
301 MED TECH PKWY STE 120
JOHNSON CITY TN, 37604-2364, US
Phone (423) 794-1800
Fax (423) 794-1801
Business Location
301 MED TECH PKWY STE 120
JOHNSON CITY TN, 37604-2364, US
Phone (423) 794-1800
Fax (423) 794-1801
Toxanomy
Taxonomy Code 363A00000X
License State Tennessee
License Number 1667
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According to our database, William James Aderhold JR. PA NPI is 1003975707, taxonomy code is 363A00000X and license number is 1667, license state is located at Tennessee. William James Aderhold JR. PA physically located at 301 Med Tech Pkwy Ste 120, Johnson City TN, 37604-2364. NPI Number William James Aderhold JR. PA has the Individual type.

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1003975707 NPI number is provided on an as is basis without warranty of any kind. 1003975707 is maintained by the National Plan & Provider Enumeration System. The contents of William James Aderhold JR. PA are for informational purposes only.