MR. Justin Daniel Genson, PA-C

NPI #1578892519 in Duncan, Oklahoma

Provider Information

NPI Number: 1578892519
Entity Type: Individual
Name: MR. Justin Daniel Genson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 23, 2009
Last Updated: Apr 24, 2010

Practice Location

Address: 2515 W ELK AVE
City: Duncan
State: Oklahoma
ZIP Code: 73533-1571
Phone: (580) 470-2916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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