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Contact Information

DAVID A THEURET, PHYSICIAN ASSISTANT
636 OLIVE STREET
BRAWLEY, CA92227
 Phone: 760-550-0253
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DAVID A THEURET · (Male)

NPI Number 1740565936
Credentials PHYSICIAN ASSISTANT
Entity Individual
Enumeration date 10/19/2011
Last updated 07/06/2016 - About 3 weeks ago
Sole proprietor 1 No
Identifiers
OR License # PA178125
OR Medicare PIN 1740565936
Hospital affiliation(s) n/a
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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