Individual provider · Type 1 NPI
Michael G. Outslay, PA-C
Surgical Physician Assistant · Folsom, CA
NPI number
1144226077
Active
Practice location
1730 Prairie City Road, Suite 120
Folsom, CA 95630
Fax (916) 351-4899
Mailing address
3400 Data Dr, Credentialing
Rancho Cordova, CA 95670-7956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Surgical Physician Assistant Primary | 363AS0400X | PA20935 (CA) |
Surgical Physician Assistant: Definition to come...
Other surgical physician assistant providers in Folsom
About NPI 1144226077
Michael G. Outslay, PA-C's National Provider Identifier is 1144226077, issued on Jun 24, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Folsom, CA. The record was last updated on Oct 25, 2022.