MICHAEL EDWARD CHAMPION

SAN ANTONIO, TX
NPI1558364018
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA03233)
Enumeration Date2005-05-27
Last Update Date2007-07-08
Business Address
-- MICHAEL EDWARD CHAMPION PA
1322 WALKERS WAY
SAN ANTONIO, TX 78216-7709
Phone number: 210-317-1808
Mailing Address
-- MICHAEL EDWARD CHAMPION PA
1322 WALKERS WAY
SAN ANTONIO, TX 78216-7709
Phone number:
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