Asia Grishchuk, PA-C

NPI #1154887032 in Nixa, Missouri

Provider Information

NPI Number: 1154887032
Entity Type: Individual
Name: Asia Grishchuk, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 15, 2019
Last Updated: Feb 15, 2019

Practice Location

Address: 940 W MOUNT VERNON ST STE 100
City: Nixa
State: Missouri
ZIP Code: 65714-9613
Phone: (417) 724-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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