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BINH Q CAO PA-C

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1962049023
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
5165 MCCARTY LN, LAFAYETTE, IN, 479058764
Phone
(765) 448-8000

Specialties & Taxonomies

Physician Assistant Primary License: IN #10002841A

All Addresses

MAILING

1200 W WHITE RIVER BLVD RCS PROVIDER ENROLLMENT

MUNCIE, IN, 473034988

(877) 668-5621

LOCATION

5165 MCCARTY LN

LAFAYETTE, IN, 479058764

(765) 448-8000