NPI 1063814507

Brandy M Straface, PAC

Practitioner Medical Physician Assistant Bridgeport, WV

Practice location

Address: 527 Medical Park Dr STE 401, Bridgeport, WV 26330-9010
Phone: (681) 342-3570
Fax: (681) 342-3575

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 1861 (WV)

Other Physician Assistant providers in West Virginia →

Registry record

NPI: 1063814507
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2014
Record last updated: 21 Jul 2022

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.