DWIGHT L BIRKLEY PA

DAVID VAN WAGNER MD PC

Dr DWIGHT L BIRKLEY PA is a male medical professional, specializing in Physician Assistant. He graduated in 1994 from University Of North Dakota School Of Medicine.

Contact

DAVID VAN WAGNER MD PC

801 5TH ST
SIOUX CITY
IA
511011326

Tel: 7122792010

DWIGHT L BIRKLEY PA Information

Npi 1932179017
Pac Id 0244230837
Professional Enrollment Id I20070104000395
Last Name BIRKLEY
First Name DWIGHT
Middle Name L
Suffix
Gender M
Credential PA
Medical School Name UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduation Year 1994
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name DAVID VAN WAGNER MD PC
Group Practice Pac Id 7416101563
Number Of Group Practice Members 3
Line 1 Street Address 801 5TH ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City SIOUX CITY
State IA
Zip Code 511011326
Phone Number 7122792010
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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