Provider Demographics
NPI:1730207432
Name:MEST, WILLIAM L (PA-C)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:L
Last Name:MEST
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:175 TRAPPED ROAD
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:PA
Mailing Address - Zip Code:19426
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:254 W. LANCASTER AVENUE
Practice Address - Street 2:
Practice Address - City:PAOLI
Practice Address - State:PA
Practice Address - Zip Code:19301
Practice Address - Country:US
Practice Address - Phone:610-644-7755
Practice Address - Fax:610-644-8290
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA001128L363A00000X
DEC5-0000309363A00000X
NJ25MP00081500363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant