JOEL PACKARD CSFA NPI 1972990851

NPI Information

NPI: 1972990851
Provider Name: JOEL PACKARD, CSFA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
50 PINE DEL DR
FLAGSTAFF, AZ
ZIP 86005
Phone: (928) 699-6786
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Joel Packard, CSFA is a surgical physician assistant in Flagstaff, AZ. Joel Packard, CSFA NPI is 1972990851. 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:

50 PINE DEL DR
FLAGSTAFF, AZ
ZIP 86005-603
Phone: (928) 699-6786

The enumeration date for this NPI number is 4/18/2015 and was last updated on 8/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246ZC0007X	Specialist/Technologist, Other	Surgical Assistant			No
2	363AS0400X	Physician Assistant	Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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