| NPI | 1689051690 |
|---|---|
| Former Name | MARY K VOLCKO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA173262) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2025-05-02 |