person
Patrick Tye Creasy, PA
Surgical Physician Assistant in Colton, California
NPI 1992000574

Patrick Tye Creasy is a Surgical Physician Assistant based in Colton, CA and is specialized in Surgical. Patrick Tye Creasy practices in Colton, CA and has the professional credentials of PA. The NPI Number for Patrick Tye Creasy is 1992000574 and holds a License No. PA21414 (California).

The current practice location address for Patrick Tye Creasy is 900 E Washington St, Colton, CA and can be reached out via phone at 909-370-0300 and via fax at 909-370-0303.

Location: 900 E Washington St, Colton, CA, 92324-7111
person
Provider Profile Details
NPI Number
1992000574
Provider Name
Patrick Tye Creasy
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
900 E Washington St, Colton, CA, 92324-7111
Phone Number
909-370-0300
Fax Number
909-370-0303
Provider Enumeration Date
01/12/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 E Washington St
City
State
Zip
92324-7111
Phone Number
909-370-0300
Fax Number
909-370-0303
person
Provider Business Mailing Address Details
Address
900 E Washington St
City
State
Zip
92324-7111
Phone Number
909-370-0300
Fax Number
909-370-0303
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA21414 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA21414 (California)
Definition
Definition to come...
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