Individual
EDGAR ANTONIO ESCOBAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
399 STRAUSS AVENUE, SUITE 219, INDIAN HEAD, MD 20640
(301) 744-4624
Mailing address
399 STRAUSS AVENUE, SUITE 219, INDIAN HEAD, MD 20640
(301) 744-5026
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA22678
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
10/29/2012
Last updated
04/23/2021
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