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Edwin Francisco Suaza, PA-C

Physician Assistant in Spencer, IA. Individual provider (NPI-1).

NPI number1982161204
StatusActive
Last updated in NPPESJul 10, 2019

Details

NPI
1982161204
Entity type
Individual (NPI-1)
Name
Edwin Francisco Suaza
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Feb 22, 2019
Last updated
Jul 10, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

116 E 11th St Ste 101
Spencer, IA 51301-4365

Phone 712-264-3500

Mailing address

116 E 11th St Ste 101
Spencer, IA 51301-4365

Phone 712-264-3500

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