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John Robert Western, PA
Medical Physician Assistant in San Diego, California
NPI 1679679682

John Robert Western is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. John Robert Western practices in San Diego, CA and has the professional credentials of PA. The NPI Number for John Robert Western is 1679679682 and holds a License No. PA11423 (California).

The current practice location address for John Robert Western is 4405 Vandever Ave, San Diego, CA and can be reached out via phone at 619-516-7366.

Location: 4405 Vandever Ave, San Diego, CA, 92120-3315
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679679682
Provider Name
John Robert Western
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
4405 Vandever Ave, San Diego, CA, 92120-3315
Phone Number
619-516-7366
Fax Number
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4405 Vandever Ave
City
San Diego
State
California
Zip
92120-3315
Phone Number
619-516-7366
Fax Number
person
Provider Business Mailing Address Details
Address
4405 Vandever Ave
City
San Diego
State
California
Zip
92120-3315
Phone Number
619-516-7366
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA11423 (California)
Definition
Definition to come...
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