Individual
DONALD C ERVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1165 PHELPS AVE, SUITE 203, COALINGA, CA 93210-9663
(559) 935-5555
(559) 935-2827
Mailing address
PO BOX 784, SUITE 203, COALINGA, CA 93210-0784
(559) 935-5555
(559) 935-2827
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA12399
CA
Other
Enumeration date
08/29/2006
Last updated
02/01/2016
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