Mr James P Ennis Ii, PA-C | |
4023 Cloverland Drive, Phoenix, MD 21131-2139 | |
(443) 514-5864 | |
(410) 420-9641 |
Full Name | Mr James P Ennis Ii |
---|---|
Gender | Male |
Speciality | Physician Assistant - Surgical |
Location | 4023 Cloverland Drive, Phoenix, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598047367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AS0400X | Physician Assistant - Surgical | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Mr James P Ennis Ii, PA-C 4023 Cloverland Drive, Phoenix, MD 21131-2139 Ph: (443) 514-5864 | Mr James P Ennis Ii, PA-C 4023 Cloverland Drive, Phoenix, MD 21131-2139 Ph: (443) 514-5864 |
Mrs. Diane Dritt Amin, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2427 Stanwick Rd, Phoenix, MD 21131 Phone: 410-683-1719 | |
Betty Yurganova, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14237 Jarrettsville Pike, Phoenix, MD 21131 Phone: 410-650-4735 |