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Individual
MR. PHILLIP ASHLEY
Active
Individual
MR. PHILLIP ASHLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005680
NY
363AM0700X
Medical Physician Assistant
005680-1
NY
363AS0400X
Surgical Physician Assistant
005680-1
NY
Other
Enumeration date
12/27/2006
Last updated
03/22/2021
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