Individual
ANDREW JAMES MIDLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 MERCY CIRCLE, CAMP PENDLETON, CA 92055
(760) 725-1288
Mailing address
783 CARSON CIR, GROTTOES, VA 24441-2581
(757) 630-1366
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010910
VA
Other
Enumeration date
05/05/2025
Last updated
05/07/2025
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