Ericson Mutsuo Hirose, PA
NPI #1003484650 in Fresno, California
Provider Information
- NPI Number
- 1003484650
- Entity Type
- Individual
- Name
- Ericson Mutsuo Hirose, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Jun 10, 2021
- Last Updated
- Nov 1, 2022
Practice Location
- Address
- 2823 FRESNO ST
- City
- Fresno
- State
- California
- ZIP Code
- 93721-1324
- Phone
- (559) 443-2682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Surgical — Surgical |
| Student in an Organized Health Care Education/Training Program |
| Physician Assistant - Medical — Medical |
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