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Individual
PHILLIP ANDREW DEWEY
Active
Individual
PHILLIP ANDREW DEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005463
IL
363AS0400X
Surgical Physician Assistant
PAC0440
ND
363AS0400X
Surgical Physician Assistant
PENDING
OH
Other
Enumeration date
10/27/2009
Last updated
08/22/2022
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