MR. TYSON BUBNAR, PA-C

Physician Assistant

Active Individual
NPI: 1720312861

Practice Address

1325 LOCUST AVE
Fairmont, WV 26554

Phone: (907) 947-4406

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 699 (WV)

Frequently Asked Questions

NPI 1720312861 is the National Provider Identifier for MR. TYSON BUBNAR, PA-C, a Physician Assistant provider located in Fairmont, WV. This NPI was enumerated on September 22, 2009.
MR. TYSON BUBNAR, PA-C practices at 1325 LOCUST AVE, Fairmont, WV 26554.

Quick Facts

NPI
1720312861
Type
Individual
Enumerated
Sep 22, 2009
Last Updated
May 27, 2025

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