Individual provider · Type 1 NPI

Julie Alison Cragholm, PA-C

Surgical Physician Assistant · San Jose, CA

NPI number 1356582084 Active

Practice location

333 Oconnor Dr
San Jose, CA 95128-1623

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA20175 (CA)
Medical Physician Assistant 363AM0700XPA20175 (CA)
Surgical Physician Assistant Primary 363AS0400XPA20175 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1356582084

Julie Alison Cragholm, PA-C's National Provider Identifier is 1356582084, issued on Mar 9, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Jose, CA. The record was last updated on Mar 9, 2009.