| NPI | 1114683935 |
|---|---|
| Other Name | JEFF RICE |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2021048429) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: ID PA-2110) |
| Enumeration Date | 2021-11-16 |
| Last Update Date | 2023-03-02 |