Theresa Ann Dwyer
Physician Assistant, Medical in Fresno, CA. Individual provider (NPI-1).
NPI number1982187100
StatusActive
Last updated in NPPESNov 23, 2019
Details
- NPI
- 1982187100
- Entity type
- Individual (NPI-1)
- Name
- Theresa Ann Dwyer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2018
- Last updated
- Nov 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA55969 | CA | Yes |
| 363AS0400X | Physician Assistant, Surgical | PA55969 | CA |
Practice location
2335 E Kashian Ln Ste 240Fresno, CA 93701-2211
Phone 559-320-0545 · Fax 559-320-0550
Mailing address
1700 E 19th StThe Dalles, OR 97058-3317
Phone 559-443-2682 · Fax 559-443-2681
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All 79 Medical Physician Assistant providers in Fresno · All 23,426 providers in Fresno
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