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Heather L Offutt, PA - C

Physician Assistant in Fort George G Meade, MD. Individual provider (NPI-1).

NPI number1811029002
StatusActive
Last updated in NPPESJul 17, 2024

Details

NPI
1811029002
Entity type
Individual (NPI-1)
Name
Ms. Heather L Offutt
Credential
PA - C
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 12, 2007
Certification date
Jul 17, 2024
Last updated
Jul 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081

Phone 301-619-4654

Mailing address

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081

Phone 301-619-4654

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