Miriam Elizabeth Gotthardt, P.A-C
Physician Assistant in Newport News, VA. Individual provider (NPI-1).
NPI number1033282918
StatusActive
Last updated in NPPESJun 23, 2021
Details
- NPI
- 1033282918
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Miriam Elizabeth Gotthardt
- Credential
- P.A-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Certification date
- Jun 23, 2021
- Last updated
- Jun 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 0110001817 | VA | Yes |
Other names
- Miriam Elizabeth Perez (Former Name)
Practice location
611 Denbigh BlvdNewport News, VA 23608-4415
Phone 757-283-8300
Mailing address
5000 Cox RdGlen Allen, VA 23060-9263
Phone 804-968-5700 · Fax 804-217-7991
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All 133 Physician Assistant providers in Newport News · All 4,765 providers in Newport News
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