Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JAMES WALTER PACK, PA
Active Sole ProprietorMR. JAMES WALTER PACK, PA is a Surgical Physician Assistant healthcare provider located in MILLERSVILLE, Maryland. NPI 1164564811 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MILLERSVILLE, MD
Registration Details
- NPI Number
- 1164564811
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 12, 2007 (19.507599378116 yrs)
- Last Updated
- Jul 8, 2007
- License
-
C0001314 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
750 OAKWILDE CTMILLERSVILLE, MD, 211081447Browse MD providers · Browse ZIP 21108
- Phone
- 4109879110
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.