NPI 1003053935

Philip Maximilian Dayvault, PA

Practitioner Physician Assistant Salisbury, NC

Practice location

Address: 1035 Lincolnton Rd, Salisbury, NC 28144-6277
Phone: (704) 638-9990
Fax: (704) 639-0785
Mailing address: 1718 E 4th St Suite 902, Charlotte, NC 28204-3261

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 0010-01670 (NC)

Other Physician Assistant providers in North Carolina →

Registry record

NPI: 1003053935
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2009
Record last updated: 26 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.