| Doctor Name: | DR. JOHN EARL PADGETT |
| NPI Number: | 1013289214 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C, PHD |
| License Number: | PA10407 |
| Business Practice Address: | 874 American Pacific Dr Henderson, NV - 890148800 |
| Business Phone Number: | 7027771766 |
| Business Fax Number: | 7027771768 |
| Mailing Address: | 874 American Pacific Dr, HENDERSON |
| State: | NV |
| Postal Code: | 890148800 |
| Phone Number: | 7027771766 |
| Fax Number: | 7027771768 |
| NPI Enumeration Date: | 02/02/2012 |
| NPI Last Update Date: | 02/02/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA10407 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |