Organization · NPI-2

1419 Arlington Medical LLC

Physician Assistant · Akron, OH

NPI number1316535974
StatusActive
Last updated in NPPESJan 8, 2021

Details

NPI
1316535974
Entity type
Organization (NPI-2)
Legal business name
1419 Arlington Medical LLC
Organization subpart
No
Enumeration date
Jan 8, 2021
Certification date
Jan 8, 2021
Last updated
Jan 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

1419 S Arlington St
Akron, OH 44306

Phone 330-773-3882

Mailing address

1712 Pioneer Ave
Ste 500
Cheyenne, WY 82001

Authorized official

Rebecca Murray
Representattive
6156133871

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