Individual
PASTIEN PEOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PA-C
Contact information
Practice address
500 J CLYDE MORRIS BOULEVARD, NEWPORT NEWS, VA 23601
(757) 594-2000
Mailing address
860 OMNI BLVD, STE 303, NEWPORT NEWS, VA 23606-4477
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003982
VA
Other
Enumeration date
11/11/2009
Last updated
04/04/2019
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