Doctor Name: | MR. JEFFREY SANDS ARMSTRONG |
NPI Number: | 1386761245 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 16531 |
Business Practice Address: | 129 N 5th St Chowchilla, CA - 936102820 |
Business Phone Number: | 5596650275 |
Business Fax Number: | 5596657126 |
Mailing Address: | 101 E 22nd St, MERCED |
State: | CA |
Postal Code: | 953403942 |
Phone Number: | 2093880884 |
Fax Number: | 6194375995 |
NPI Enumeration Date: | 03/24/2007 |
NPI Last Update Date: | 12/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 16531 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |