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Colleen Gustafson Espenschied, PA-C
Surgical Physician Assistant in San Diego, California
NPI 1366464471

Colleen Gustafson Espenschied is a Surgical Physician Assistant based in Los Angeles, CA and is specialized in Surgical. Colleen Gustafson Espenschied practices in San Diego, CA and has the professional credentials of PA-C. The NPI Number for Colleen Gustafson Espenschied is 1366464471 and holds a License No. PA17108 (California).

The current practice location address for Colleen Gustafson Espenschied is 2017 1St Ave, San Diego, CA and can be reached out via phone at 619-881-4577 and via fax at 619-231-1031.

Location: 2017 1St Ave, San Diego, CA, 90074-0001
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Provider Profile Details
NPI Number
1366464471
Provider Name
Colleen Gustafson Espenschied
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2017 1St Ave, San Diego, CA, 90074-0001
Phone Number
619-881-4577
Fax Number
619-231-1031
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA17108 05 CA
institution
Provider Business Practice Location Address Details
Address
2017 1St Ave
City
State
Zip
92101-2033
Phone Number
619-881-4577
Fax Number
619-231-1031
person
Provider Business Mailing Address Details
Address
2017 1St Ave
City
State
Zip
92101-2033
Phone Number
619-881-4577
Fax Number
619-231-1031
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA17108 (California)
Definition
Definition to come...
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