Tristen Amber Pack, PA-C

NPI #1942632245 in Tazewell, Virginia

Provider Information

NPI Number: 1942632245
Entity Type: Individual
Name: Tristen Amber Pack, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Aug 8, 2013
Last Updated: Jan 30, 2019

Practice Location

Address: 388 BEN BOLT AVE
City: Tazewell
State: Virginia
ZIP Code: 24651-5386
Phone: (276) 988-8740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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