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1285610451
PETER VERNON GOETCHIUS
FORT DRUM, NY
NPI
1285610451
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NY 000219-0)
Enumeration Date
2005-12-20
Last Update Date
2008-05-20
Business Address
Mr. PETER VERNON GOETCHIUS Physician Assistant
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602-5438
Phone number: 315-772-4025
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Mailing Address
Mr. PETER VERNON GOETCHIUS Physician Assistant
11050 MOUNT BELVEDERE BLVD USA MEDDAC ATTN: CREDENTIALS
FORT DRUM, NY 13602-5438
Phone number: 315-772-4025
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