Justin Thomas Mabry, PA Valid NPI

Individual provider · Physician Assistant · Galion, OH

NPI

1083317440

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

50.008745RX (OH)

Sex

Male

Sole proprietor

Yes

Enumerated

2023-03-24

Last updated

2024-08-21