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NPI Code Detail

MEDICARE: MS. TONYA DAWN PFISTER PA-C

MEDICARE: MS. TONYA DAWN PFISTER PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant10000281AIN

General Provider Information

NPI Number : 1841273505
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TONYA DAWN PFISTER PA-C
Provider Business Mailing Address
First Line : 301 HENRY ST
Second Line :
City : NORTH VERNON
State : IN
Zip : 47265-1030
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 HENRY ST
Second Line :
City : NORTH VERNON
State : IN
Zip : 47265-1030
Country : US
Telephone Number : 812-352-4300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2005
Last Update Date : 08/09/2022

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