Individual provider · Type 1 NPI

Antonio Buenrostro Rubio, PA

Surgical Physician Assistant · Fresno, CA

NPI number 1205907409 Active

Practice location

2210 E Illinois Ave, Suite 401
Fresno, CA 93701-2125

Fax (559) 320-0539

Mailing address

4910 E Clinton Way, Suite 101
Fresno, CA 93727-1560

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA16270 (CA)
Surgical Physician Assistant Primary 363AS0400XPA16270 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1205907409

Antonio Buenrostro Rubio, PA's National Provider Identifier is 1205907409, issued on Nov 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Fresno, CA. The record was last updated on Dec 3, 2011.