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William Ennis JR., PA
Surgical Physician Assistant in Salisbury, Maryland
NPI 1407199706

William Ennis JR. is a Surgical Physician Assistant based in Salisbury, MD and is specialized in Surgical. William Ennis JR. practices in Salisbury, MD and has the professional credentials of PA. The NPI Number for William Ennis JR. is 1407199706 and holds a License No. C05019 (Maryland).

The current practice location address for William Ennis JR. is 914A Eastern Shore Dr, Salisbury, MD and can be reached out via phone at 410-546-1331 and via fax at 410-543-8107.

Location: 914A Eastern Shore Dr, Salisbury, MD, 21804-6410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407199706
Provider Name
William Ennis JR.
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
914A Eastern Shore Dr, Salisbury, MD, 21804-6410
Phone Number
410-546-1331
Fax Number
410-543-8107
Provider Enumeration Date
04/04/2013
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
914A Eastern Shore Dr
City
Salisbury
State
Maryland
Zip
21804-6410
Phone Number
410-546-1331
Fax Number
410-543-8107
person
Provider Business Mailing Address Details
Address
914A Eastern Shore Dr
City
Salisbury
State
Maryland
Zip
21804-6410
Phone Number
410-546-1331
Fax Number
410-543-8107
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
C05019 (Maryland)
Definition
Definition to come...
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