IndividualActive
Bryan Rafferty, PA-C
NPI 1326410044 · Physician Assistant · Wpafb, OH
Provider details
- NPI number
- 1326410044
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2881 (TN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
88mdg/Sggp
4881 Sugar Maple Dr
Wpafb, OH 45433
Phone: (937) 713-9011
Approximate (ZIP-level) locationGet directions
Mailing address
88mdg/Sggp
Wpafb, OH 45433
Additional practice locations (1)
- 701 Mcfarland StMorristown, TN 37814-3977Phone: (423) 581-6084Fax: (423) 581-6078
Registry dates
- Enumerated
- 2015-10-21
- Last updated
- 2022-06-17
- Certified
- 2022-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.