person
Mary F Eanes, PA
Medical Physician Assistant in Atascadero, California
NPI 1336219252

Mary F Eanes is a Medical Physician Assistant based in Atascadero, CA and is specialized in Medical. Mary F Eanes practices in Atascadero, CA and has the professional credentials of PA. The NPI Number for Mary F Eanes is 1336219252 and holds a License No. PA 12590 (California).

The current practice location address for Mary F Eanes is 9700 El Camino Real, Atascadero, CA and can be reached out via phone at 805-461-9000 and via fax at 805-461-9001.

Location: 9700 El Camino Real, Atascadero, CA, 93422-5571
person
Provider Profile Details
NPI Number
1336219252
Provider Name
Mary F Eanes
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
9700 El Camino Real, Atascadero, CA, 93422-5571
Phone Number
805-461-9000
Fax Number
805-461-9001
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA 12590 01 CA MEDICAL LICENSE #
institution
Provider Business Practice Location Address Details
Address
9700 El Camino Real
City
State
Zip
93422-5569
Phone Number
805-461-9000
Fax Number
805-461-9001
person
Provider Business Mailing Address Details
Address
9700 El Camino Real
City
State
Zip
93422-5569
Phone Number
805-461-9000
Fax Number
805-461-9001
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 12590 (California)
Definition
Definition to come...
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