Provider Demographics
NPI:1306196316
Name:ARMSTRONG, ANDREW ROYCE III (PA-C, MPAS)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:ROYCE
Last Name:ARMSTRONG
Suffix:III
Gender:M
Credentials:PA-C, MPAS
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Mailing Address - Street 1:5720 RALSTON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7844
Mailing Address - Country:US
Mailing Address - Phone:805-804-4168
Mailing Address - Fax:805-830-1177
Practice Address - Street 1:2221 WANKEL WAY
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-0192
Practice Address - Country:US
Practice Address - Phone:805-988-9366
Practice Address - Fax:805-483-3747
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-17
Last Update Date:2023-03-07
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA53940OtherSTATE LICENSE
CAMA5287378OtherDEA