Provider Demographics
NPI:1194393512
Name:CAIN, DAVID LEE II (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:LEE
Last Name:CAIN
Suffix:II
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:654 YELLOW RD
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:PA
Mailing Address - Zip Code:15537-6220
Mailing Address - Country:US
Mailing Address - Phone:814-889-8709
Mailing Address - Fax:
Practice Address - Street 1:620 HOWARD AVE
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4804
Practice Address - Country:US
Practice Address - Phone:814-889-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-13
Last Update Date:2021-06-13
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant