Provider Demographics
NPI:1407954043
Name:SCHOOLEY, JOHN B (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:B
Last Name:SCHOOLEY
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3153
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:ME
Mailing Address - Zip Code:04330-3153
Mailing Address - Country:US
Mailing Address - Phone:207-623-8411
Mailing Address - Fax:207-626-4707
Practice Address - Street 1:1 VA CTR
Practice Address - Street 2:VA TOGUS
Practice Address - City:AUGUSTA
Practice Address - State:ME
Practice Address - Zip Code:04330-6719
Practice Address - Country:US
Practice Address - Phone:207-623-8411
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant