Unknown Individual – Physician Assistant, NPI 1710063557
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
113 COPSE WAY
WILLIAMSBURG, VA 231855002
Phone:
Type: Mailing
1 US COAST GUARD TRAINING CENTER
TRACEN YORKTOWN CLINIC
YORKTOWN, VA 23690
Phone: (757) 856-2565
Type: Location
1770 N Parham Rd
Richmond, VA 232294658
Phone: (804) 615-5060
Type: Location
USCG Island
HSWL FO Alameda
Alameda, CA 94501
Phone: (206) 399-4312
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 23185)
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