Individual provider · Type 1 NPI
Mary Magdalene Brkich
Surgical Physician Assistant · San Jose, CA
NPI number
1558472902
Active
Practice location
312 Viscaino Way
San Jose, CA 95119-1630
Mailing address
16920 Marbella Ct
Morgan Hill, CA 95037-7040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | PA14401 (CA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA14401 (CA) |
Surgical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1558472902
Mary Magdalene Brkich's National Provider Identifier is 1558472902, issued on Aug 31, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in San Jose, CA. The record was last updated on Nov 29, 2021.