Zakery Austin Koban MPAS, PA-C

NPI 1407283922 - Physician Assistant - 363AS0400X

NPI Details
NPI 1407283922
Gender Male
Enumeration Date 09/29/2013
Last Updated 09/29/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
14000 PERRY HWY
WEXFORD PA, 15090-8442, US
Phone (724) 933-1800
Fax (724) 933-1810
Business Location
3106 TEE CT
PRESTO PA, 15142-1502, US
Phone (814) 341-0259
Fax (724) 933-1810
Toxanomy
Taxonomy Code 363AS0400X
License State Pennsylvania
License Number MA054426
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According to our database, Zakery Austin Koban MPAS, PA-C NPI is 1407283922, taxonomy code is 363AS0400X and license number is MA054426, license state is located at Pennsylvania. Zakery Austin Koban MPAS, PA-C physically located at 14000 Perry Hwy, Wexford PA, 15090-8442. NPI Number Zakery Austin Koban MPAS, PA-C has the Individual type.

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1407283922 NPI number is provided on an as is basis without warranty of any kind. 1407283922 is maintained by the National Plan & Provider Enumeration System. The contents of Zakery Austin Koban MPAS, PA-C are for informational purposes only.