Provider Demographics
NPI:1528143351
Name:PERCY, FRANK GRAVES JR (PA-C, MPAS)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:GRAVES
Last Name:PERCY
Suffix:JR
Gender:M
Credentials:PA-C, MPAS
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Mailing Address - Street 1:8055 FLANDERS DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-3416
Mailing Address - Country:US
Mailing Address - Phone:858-382-5625
Mailing Address - Fax:
Practice Address - Street 1:MCRD-GUADALCANAL DR.
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134
Practice Address - Country:US
Practice Address - Phone:619-524-0860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant