NPI | 1447362645 |
---|---|
Professional Name | BERT EARL LEPEL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MT 49) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ND PAC0349) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-11-13 |