Individual provider · Type 1 NPI

Jodie Konigsberg, PA-C

Surgical Physician Assistant · Pleasanton, CA

NPI number 1437387438 Active

Practice location

5725 W Las Positas Blvd, Suite 200
Pleasanton, CA 94588-4054

Call (925) 469-6274 Map

Fax (925) 924-1769

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA20386 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1437387438

Jodie Konigsberg, PA-C's National Provider Identifier is 1437387438, issued on Jun 29, 2009. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pleasanton, CA. The record was last updated on Jun 29, 2009.