Xavier Idelfonso Valdez MPAS, PA-C

NPI 1164404034 - Physician Assistant - 363AS0400X

NPI Details
NPI 1164404034
Gender Male
Enumeration Date 11/16/2005
Last Updated 11/05/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4561 DICKEY DR
LA MESA CA, 91941-5735, US
Phone (619) 328-3025
Fax (619) 312-0528
Business Location
PO BOX 104
LA MESA CA, 91944-0104, US
Phone (619) 328-3025
Fax (619) 312-0528
Toxanomy
Taxonomy Code 363AS0400X
License State California
License Number PA19287
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According to our database, Xavier Idelfonso Valdez MPAS, PA-C NPI is 1164404034, taxonomy code is 363AS0400X and license number is PA19287, license state is located at California. Xavier Idelfonso Valdez MPAS, PA-C physically located at 4561 Dickey Dr, La Mesa CA, 91941-5735. NPI Number Xavier Idelfonso Valdez MPAS, PA-C has the Individual type.

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1164404034 NPI number is provided on an as is basis without warranty of any kind. 1164404034 is maintained by the National Plan & Provider Enumeration System. The contents of Xavier Idelfonso Valdez MPAS, PA-C are for informational purposes only.