Individual provider · Type 1 NPI

Colleen Gustafson Espenschied, PA-C.

Surgical Physician Assistant · San Diego, CA

NPI number 1366464471 Active

Practice location

2017 1st Ave
San Diego, CA 92101-2033

Call (619) 881-4577 Map

Fax (619) 231-1031

Mailing address

File 54433
Los Angeles, CA 90074-0001

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA17108 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1366464471

Colleen Gustafson Espenschied, PA-C.'s National Provider Identifier is 1366464471, issued on Jul 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Diego, CA. The record was last updated on Apr 4, 2013.