Individual provider · Type 1 NPI
Alexandra Maya McSpadden, P.A.
Surgical Physician Assistant · Santa Rosa, CA
NPI number
1922301522
Active
Practice location
3333 Mendocino Avenue Suite 130, Kaiser Permanente Cosmetic Services
Santa Rosa, CA 95403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0840 (NH) |
| Medical Physician Assistant | 363AM0700X | PA22312 (CA) |
| Surgical Physician Assistant | 363AS0400X | 0840 (NH) |
| Surgical Physician Assistant Primary | 363AS0400X | PA22312 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1922301522
Alexandra Maya McSpadden, P.A.'s National Provider Identifier is 1922301522, issued on Dec 21, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 4, 2012.