Festus Idahosa-Erese, PHYSICIAN ASSISTANT

NPI #1871503342 in Barstow, California

Provider Information

NPI Number
1871503342
Entity Type
Individual
Name
Festus Idahosa-Erese, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Aug 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
716 E MAIN ST
ZIP Code
92311-2354
Phone
(760) 953-8059

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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