Individual provider · Type 1 NPI

Caroline Theresa Urbanek

Surgical Physician Assistant · Clovis, CA

NPI number 1134766868 Active

Practice location

604 N Magnolia Ave Ste 100
Clovis, CA 93611-9205

Call (559) 320-0531 Map

Fax (559) 320-0539

Mailing address

2625 E Divisadero St
Fresno, CA 93721-1431

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X58002 (CA)
Surgical Physician Assistant Primary 363AS0400X58002 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1134766868

Caroline Theresa Urbanek's National Provider Identifier is 1134766868, issued on Dec 2, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clovis, CA. The record was last updated on Apr 17, 2020.