PHILLIP DANDRIDGE

FORT DRUM, NY
NPI1548712078
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  1138785)
Enumeration Date2016-11-01
Last Update Date2016-11-01
Business Address
-- PHILLIP DANDRIDGE PA-C
11050 MOUNT BELVEDERE BLVD
FORT DRUM, NY 13602-5438
Phone number: 706-833-3495
Mailing Address
-- PHILLIP DANDRIDGE PA-C
11050 MOUNT BELVEDERE BLVD 5870B WILLIAMSON LOOP
FORT DRUM, NY 13602-5438
Phone number: 706-833-3495
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