Individual provider · Type 1 NPI

Tracy L. Wickware, PA

Physician Assistant · San Diego, CA

NPI number 1417025636 Active

Practice location

3930 4th Ave, Suite 200
San Diego, CA 92103-3119

Call (619) 297-9610 Map

Fax (619) 297-2244

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA17814 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1417025636

Tracy L. Wickware, PA's National Provider Identifier is 1417025636, issued on Dec 4, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Diego, CA. The record was last updated on Mar 7, 2023.