MRS. Bobbie Rae Faivus Vangorder, P.A.

NPI #1154630366 in Oswego, New York

Provider Information

NPI Number
1154630366
Entity Type
Individual
Name
MRS. Bobbie Rae Faivus Vangorder, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Oct 5, 2010
Last Updated
Mar 29, 2023

Practice Location

Address
110 W UTICA ST
City
Oswego
ZIP Code
13126-3047
Phone
(315) 349-5537

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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