Individual
REBECCA SOFFIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
800 WAYNE ST STE 112, MARIETTA, OH 45750-3309
(740) 373-4288
(740) 373-4254
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002683RX
OH
363AS0400X
Surgical Physician Assistant
01334
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070663
—
OH
Enumeration date
02/15/2008
Last updated
01/09/2024
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