person
Eileen C. Dearth, PA
Surgical Physician Assistant in Charlottesville, Virginia
NPI 1538584057

Eileen C. Dearth is a Surgical Physician Assistant based in Charlottesville, VA and is specialized in Surgical. Eileen C. Dearth practices in Charlottesville, VA and has the professional credentials of PA. The NPI Number for Eileen C. Dearth is 1538584057 and holds a License No. 0110004499 (Virginia).

The current practice location address for Eileen C. Dearth is 1215 Lee St Fl 2, Charlottesville, VA and can be reached out via phone at 434-243-6628 and via fax at 434-244-7588.

Location: 1215 Lee St Fl 2, Charlottesville, VA, 22906-9007
person
Provider Profile Details
NPI Number
1538584057
Provider Name
Eileen C. Dearth
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1215 Lee St Fl 2, Charlottesville, VA, 22906-9007
Phone Number
434-243-6628
Fax Number
434-244-7588
Provider Enumeration Date
02/20/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1538584057 05 VA
institution
Provider Business Practice Location Address Details
Address
1215 Lee St Fl 2
City
State
Zip
22908-0001
Phone Number
434-243-6628
Fax Number
434-244-7588
person
Provider Business Mailing Address Details
Address
1215 Lee St Fl 2
City
State
Zip
22908-0001
Phone Number
434-243-6628
Fax Number
434-244-7588
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
0110004499 (Virginia)
Definition
Definition to come...
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