Provider Demographics
NPI:1487762316
Name:FILIPS, DAVID MEYER (PA-C)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:MEYER
Last Name:FILIPS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3020 SILVER SADDLE DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86406-7029
Mailing Address - Country:US
Mailing Address - Phone:928-505-8313
Mailing Address - Fax:928-717-7574
Practice Address - Street 1:2035 MESQUITE AVE STE E
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-5894
Practice Address - Country:US
Practice Address - Phone:928-680-0090
Practice Address - Fax:928-717-7574
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA10003689WA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical