Taxonomy Code 363AM0700X(363am0700x)
Medical Physician Assistant. Providers: 2

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Medical Physician Assistant Providers

NPI Name Type Address

1588853675

MR. PA-C Kevin John Wansor

Individual

30 Medical Center Blvd Suite 303

Clinical Renal Associates Ltd

Upland, PA

1194130328

PA-C, MPAS Baotram Ngoc Luu

Individual

One Medical Center Blvd

Suite 404

Upland, PA

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

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Taxonomy Code 363AM0700X
Specialization Medical
Display Name Medical Physician Assistant
Taxonomy Group Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Classification Physician Assistant
Definition Definition to come...
Effective Date September 30, 2009
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Physician Assistant Codes

Physician Assistant

363A00000X • providers: 122,072

Surgical Physician Assistant

363AS0400X • providers: 16,971