MARY UPCHURCH
Physician Assistant
Active
Individual
NPI: 1598243982
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 310296 (LA) |
Frequently Asked Questions
NPI 1598243982 is the National Provider Identifier for MARY UPCHURCH, a Physician Assistant provider located in Jefferson, LA. This NPI was enumerated on July 30, 2018.
MARY UPCHURCH practices at 1514 JEFFERSON HWY, Jefferson, LA 70121.
Quick Facts
- NPI
- 1598243982
- Type
- Individual
- Enumerated
- Jul 30, 2018
- Last Updated
- Aug 16, 2018
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