Individual
MR. DAVID ANTHONY KONZEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2880 HULEN PL, RIVERSIDE, CA 92507-2606
(951) 715-3445
Mailing address
2880 HULEN PL, RIVERSIDE, CA 92507-2606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-07561
NC
363A00000X
Physician Assistant
PA51287
CA
Other
Enumeration date
12/04/2013
Last updated
03/24/2020
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