Alisa Marvin, PA-C

NPI #1699190942 in Elyria, Ohio

Provider Information

NPI Number: 1699190942
Entity Type: Individual
Name: Alisa Marvin, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 24, 2014
Last Updated: Jan 13, 2015

Practice Location

Address: 303 CHESTNUT COMMONS DR
City: Elyria
State: Ohio
ZIP Code: 44035-9607
Phone: (440) 204-7400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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