Individual
MR. JON DABU VERCELES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-03175
NC
363AM0700X
Medical Physician Assistant
0010-03175
NC
363AM0700X
Medical Physician Assistant
PA824
NV
363AS0400X
Surgical Physician Assistant
Primary
0010-03175
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100500023
NVMEDICAID
NV
05
—
100502898
—
NV
01
—
VWCHKL
NORIDIAN
NV
Enumeration date
02/07/2006
Last updated
09/01/2020
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