David Paul Supinski JR., P.A.

NPI #1336207786 in Wright Patterson Afb, Ohio

Provider Information

NPI Number
1336207786
Entity Type
Individual
Name
David Paul Supinski JR., P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
P.A.
Enumeration Date
Dec 5, 2006
Last Updated
Jun 9, 2009

Practice Location

Address
4881 SUGAR MAPLE DR.
Address 2
ER/SGOE
State
Ohio
ZIP Code
45433-0000
Phone
(937) 257-0770

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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