Organization · Type 2 NPI
Rocket Physician Assistant Corp
Surgical Physician Assistant · Dublin, CA
NPI number
1083973994
Active
Practice location
4351 Foxford Way
Dublin, CA 94568-7819
Fax (415) 520-2021
Mailing address
3819 Divisadero St, #2
San Francisco, CA 94123-1079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA 22186 (CA) |
Surgical Physician Assistant: Definition to come...
About NPI 1083973994
Rocket Physician Assistant Corp's National Provider Identifier is 1083973994, issued on May 11, 2012. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dublin, CA. The record was last updated on Dec 21, 2012.