Kevin A Vida, PA C
NPI #1023000122 in Rancho Mirage, California
Provider Information
- NPI Number
- 1023000122
- Entity Type
- Individual
- Name
- Kevin A Vida, PA C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA C
- Enumeration Date
- Aug 16, 2005
- Last Updated
- Apr 17, 2012
Practice Location
- Address
- 39000 BOB HOPE DRIVE
- Address 2
- HARRY & DIANE RINKER BUILDING
- City
- Rancho Mirage
- State
- California
- ZIP Code
- 92270-3221
- Phone
- (760) 568-2684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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