MR. Charles Krohn Fishpaw, PA-S is a student in an organized health care education training program in Philadelphia, PA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. MR. Charles Krohn Fishpaw, PA-S NPI is 1689124620. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1616 PINE ST
C10
PHILADELPHIA, PA
ZIP 19103-745
Phone: (701) 240-8119
The enumeration date for this NPI number is 10/13/2016 and was last updated on 10/13/2016.