Provider Demographics
NPI:1023256625
Name:AGLER, SUSAN BELLRICHARD (PA-C)
Entity type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:BELLRICHARD
Last Name:AGLER
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:ST PAUL UNIVERSITY HOSPITAL
Mailing Address - Street 2:5909 HARRY HINES BLVD.
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75390-0001
Mailing Address - Country:US
Mailing Address - Phone:214-645-3597
Mailing Address - Fax:214-645-6757
Practice Address - Street 1:ST PAUL UNIVERSITY HOSPITAL
Practice Address - Street 2:5909 HARRY HINES BLVD.
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75390-0001
Practice Address - Country:US
Practice Address - Phone:214-645-3597
Practice Address - Fax:214-645-6757
Is Sole Proprietor?:No
Enumeration Date:2009-02-04
Last Update Date:2009-02-04
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical