Provider Demographics
NPI:1518452283
Name:BOARD, DARREN ROBERT (PA-C)
Entity Type:Individual
Prefix:MR
First Name:DARREN
Middle Name:ROBERT
Last Name:BOARD
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:2200 EL PORTAL DR UNIT 40
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4292
Mailing Address - Country:US
Mailing Address - Phone:661-714-8993
Mailing Address - Fax:
Practice Address - Street 1:6501 TRUXTUN AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-0633
Practice Address - Country:US
Practice Address - Phone:661-616-1671
Practice Address - Fax:661-616-1672
Is Sole Proprietor?:No
Enumeration Date:2018-06-26
Last Update Date:2019-01-18
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant