Individual provider · Type 1 NPI

Connie Jardine, PA-C

Surgical Physician Assistant · San Francisco, CA

NPI number 1497806301 Active

Practice location

2299 Post St, Suite 107
San Francisco, CA 94115-3441

Fax (415) 345-8049

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X12496 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1497806301

Connie Jardine, PA-C's National Provider Identifier is 1497806301, issued on Jan 16, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.