NPI 1033445093 · live from the CMS NPI Registry
Phillip Andrew Dewey, PA
Physician Assistant in Fargo, ND. National Provider Identifier 1033445093, active.
NPI record
| NPI | 1033445093 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1720 University Dr S, Fargo, ND 58103 |
| Practice phone | 701-417-6000 |
| Mailing address | Po Box 5074, Sioux Falls, SD 57117 |
| Enumerated | October 27, 2009 |
| Last updated | August 22, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical | 363AS0400X | pending (OH) |
| Physician Assistant, Surgical | 363AS0400X | PAC0440 (ND) |
| Physician Assistant primary | 363A00000X | 085005463 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.