Phil D Jaquith, PA
NPI #1437150380 in Vermillion, South Dakota
Provider Information
- NPI Number
- 1437150380
- Entity Type
- Individual
- Name
- Phil D Jaquith, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA
- Enumeration Date
- Aug 2, 2005
- Last Updated
- Aug 13, 2010
Practice Location
- Address
- 101 S PLUM ST
- City
- Vermillion
- State
- South Dakota
- ZIP Code
- 57069-3306
- Phone
- (605) 624-8643
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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