Doctor Name: | MR. DON CARL MASSIE |
NPI Number: | 1053302901 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA C |
License Number: | PA10063 |
Business Practice Address: | 155 Solano Street Corning Medical Associates Inc Corning, CA - 960213511 |
Business Phone Number: | 5308244663 |
Business Fax Number: | 5308245204 |
Mailing Address: | 155 Solano Street, Corning Medical Associates Inc CORNING |
State: | CA |
Postal Code: | 960213511 |
Phone Number: | 5308244663 |
Fax Number: | 5308245204 |
NPI Enumeration Date: | 10/31/2005 |
NPI Last Update Date: | 05/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA10063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |