Gary M Dutka, PA-C Valid NPI

Individual provider · Medical Physician Assistant · Saint Marys, GA

NPI

1902871445

Type

Individual (Type 1)

Primary specialty

Medical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AM0700X

License number

004291 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-20

Last updated

2008-08-06