MR. Darrel Sides, CSA
NPI #1114079878 in Independence, Kentucky
Provider Information
- NPI Number
- 1114079878
- Entity Type
- Individual
- Name
- MR. Darrel Sides, CSA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- CSA
- Enumeration Date
- Jan 16, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 6271 MARTYS TRAIL
- City
- Independence
- State
- Kentucky
- ZIP Code
- 41051-0583
- Phone
- (859) 816-6684
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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