person
Joseph Mcilvaine, PA-C
Medical Physician Assistant in Offutt Afb, Nebraska
NPI 1871097717

Joseph Mcilvaine is a Medical Physician Assistant based in Offutt Afb, NE and is specialized in Medical. Joseph Mcilvaine practices in Offutt Afb, NE and has the professional credentials of PA-C. The NPI Number for Joseph Mcilvaine is 1871097717 and holds a License No. (Nebraska).

The current practice location address for Joseph Mcilvaine is 2501 Capehart Rd, Offutt Afb, NE and can be reached out via phone at 318-456-2380.

Location: 2501 Capehart Rd, Offutt Afb, NE, 68113-1043
person
Provider Profile Details
NPI Number
1871097717
Provider Name
Joseph Mcilvaine
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2501 Capehart Rd, Offutt Afb, NE, 68113-1043
Phone Number
318-456-2380
Fax Number
Provider Enumeration Date
03/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1871097717 05 NV
institution
Provider Business Practice Location Address Details
Address
2501 Capehart Rd
City
State
Zip
68113-1043
Phone Number
318-456-2380
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Capehart Rd
City
State
Zip
68113-1043
Phone Number
318-456-2380
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
()
Definition
Definition to come...
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