DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FESTUS IDAHOSA-ERESE, PHYSICIAN ASSISTANT

Active

FESTUS IDAHOSA-ERESE, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in BARSTOW, California. NPI 1871503342 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · BARSTOW, CA

Registration Details

NPI Number
1871503342
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2006 (19.976649317092 yrs)
Last Updated
Jul 8, 2007
License
C14079 (CA)

Practice Information

Address
716 E MAIN ST
BARSTOW, CA, 923112354
Browse CA providers · Browse ZIP 92311
Phone
7609538059
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in BARSTOW, CA

Name Credential NPI
MR. CARL LEON BROWN JR. PHYSICIAN ASSISTANT 1407879059
MR. VINCENT ROSARIO RODRIGUEZ PA-C 1639388796
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.