| Festus Idahosa-erese, PHYSICIAN ASSISTANT | |
|
716 E Main St, Barstow, CA 92311-2354 | |
| (760) 953-8059 | |
| Not Available |
| Full Name | Festus Idahosa-erese |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 716 E Main St, Barstow, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871503342 | NPI | - | NPPES |
| C1584129 | Other | CA | DRIVER'S LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C14079 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Festus Idahosa-erese, PHYSICIAN ASSISTANT Po Box 487, Barstow, CA 92312-0487 Ph: (760) 953-8059 | Festus Idahosa-erese, PHYSICIAN ASSISTANT 716 E Main St, Barstow, CA 92311-2354 Ph: (760) 953-8059 |
Mr. Carl Leon Brown Jr., PHYSICIAN ASSISTANT Physician Assistant Medicare: Medicare Enrolled Practice Location: 801 E Mountain View St, Suite # C, Barstow, CA 92311 Phone: 760-256-6680 Fax: 760-256-6684 | |
Mr. Vincent Rosario Rodriguez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Branch Medical Clinic Barstow, Bdlg 17 Marine Corps Logistics Base, Barstow, CA 92311 Phone: 760-577-6491 | |
Mrs. Pasha Sheree Fruman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1301 E Main St, Barstow, CA 92311 Phone: 760-255-3200 Fax: 760-255-3210 |