Justin Richard Waite

NPI #1003203845 in Columbia, Maryland

Provider Information

NPI Number
1003203845
Entity Type
Individual
Name
Justin Richard Waite
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Enumeration Date
Apr 20, 2015
Last Updated
Mar 22, 2018

Practice Location

Address
5900 CEDAR LN
ZIP Code
21044-3635
Phone
(443) 718-4067

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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