MR. Ralph David Priddy, PA-C

NPI #1497021059 in St Augustine, Florida

Provider Information

NPI Number
1497021059
Entity Type
Individual
Name
MR. Ralph David Priddy, PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Mar 28, 2012
Last Updated
Mar 28, 2012

Practice Location

Address
2305 STATE ROAD 207
State
Florida
ZIP Code
32086-9329
Phone
(904) 827-8610

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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