Individual
BRITTNEY J SOBOTA
Active
Individual
BRITTNEY J SOBOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
01489
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01489
LICENSE
WV
01
—
1092700
NCCPA IDENTIFICATION NUMBER
GA
Enumeration date
08/20/2010
Last updated
11/17/2010
Update your record
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