Individual provider · Type 1 NPI
Stuart J. Macdonell, PA-C
Medical Physician Assistant · Freedom, CA
NPI number
1407814247
Active
Practice location
204 Green Valley Rd
Freedom, CA 95019-3135
Fax (831) 728-3310
Mailing address
6399 San Ignacio Ave Ste 120
San Jose, CA 95119-1215
Other practice locations
- 3311 Mission Dr, Santa Cruz, CA 95065-1827 · (831) 475-4315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103850 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | 54521 (CA) |
Medical Physician Assistant: Definition to come...
About NPI 1407814247
Stuart J. Macdonell, PA-C's National Provider Identifier is 1407814247, issued on May 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Freedom, CA. The record was last updated on Mar 19, 2024.