Individual provider · Type 1 NPI
Joan Collette Wolf, PHYSICIAN ASSISTANT
Surgical Physician Assistant · Sacramento, CA
NPI number
1972651644
Active
Practice location
20025 Morse Ave Suite 2E
Sacramento, CA 95825
Mailing address
6504 Trailride Way Citrus Heights Ca 95621
Citrus Heights, CA 95621
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA14765 (CA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1972651644
Joan Collette Wolf, PHYSICIAN ASSISTANT's National Provider Identifier is 1972651644, issued on Jan 8, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sacramento, CA. The record was last updated on Jul 8, 2007.