Dicky Lee Paige, P.A. Valid NPI

Individual provider · Physician Assistant · Belleville, KS

NPI

1093739732

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

15-00378 (KS)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-26

Last updated

2007-07-08