NPI 1245613694

John Miyakawa, PHYSICIANASSISTANT

Practitioner Surgical Physician Assistant Gulfport, MS

Practice location

Address: 12337 Ashley Dr Suite F, Gulfport, MS 39503-2753
Phone: (228) 365-6932

Registered specialties

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X

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Registry record

NPI: 1245613694
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Jul 2015
Record last updated: 2 Jul 2015

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.