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
- City
- Barstow
- State
- California
- ZIP Code
- 92311-2354
- Phone
- (760) 953-8059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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