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Individual
JONATHAN ELLIOTT SCHOEFFEL
Active
Individual
JONATHAN ELLIOTT SCHOEFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110005953
VA
363A00000X
Physician Assistant
C0006824
MD
363AS0400X
Surgical Physician Assistant
0110005953
VA
363AS0400X
Surgical Physician Assistant
Primary
C0006824
MD
Other
Enumeration date
10/03/2017
Last updated
09/25/2018
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