MISS Christina Marie Pergram, PA-C

NPI #1609020155 in Defiance, Ohio

Provider Information

NPI Number: 1609020155
Entity Type: Individual
Name: MISS Christina Marie Pergram, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 11, 2008
Last Updated: May 21, 2013

Practice Location

Address: 1250 RLASTON AVE
Address 2: SUITE 104
City: Defiance
State: Ohio
ZIP Code: 43512
Phone: (419) 785-3281

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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