Individual
BRIAN PAUL SHOWALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 MATTHEW ST STE 101, MARIETTA, OH 45750-1656
(740) 568-4150
(740) 568-4151
Mailing address
416 COLEGATE DR BLDG 3, MARIETTA, OH 45750-9549
(740) 568-4814
(740) 374-3165
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
01536
WV
363AS0400X
Surgical Physician Assistant
Primary
50.003230RX
OH
Other
Enumeration date
01/18/2011
Last updated
02/02/2022
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