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Tracy L Wickware, PA
Physician Assistant in San Diego, California
NPI 1417025636

Tracy L Wickware is a Physician Assistant based in San Diego, CA. Tracy L Wickware practices in San Diego, CA and has the professional credentials of PA. The NPI Number for Tracy L Wickware is 1417025636 and holds a License No. PA17814 (California).

The current practice location address for Tracy L Wickware is 3930 4Th Ave, San Diego, CA and can be reached out via phone at 619-297-9610 and via fax at 619-297-2244.

Location: 3930 4Th Ave, San Diego, CA, 92103-3119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417025636
Provider Name
Tracy L Wickware
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3930 4Th Ave, San Diego, CA, 92103-3119
Phone Number
619-297-9610
Fax Number
619-297-2244
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA 17814 01 CA CALIFORNIA LICENSE
institution
Provider Business Practice Location Address Details
Address
3930 4Th Ave
City
San Diego
State
California
Zip
92103-3119
Phone Number
619-297-9610
Fax Number
619-297-2244
person
Provider Business Mailing Address Details
Address
3930 4Th Ave
City
San Diego
State
California
Zip
92103-3119
Phone Number
619-297-9610
Fax Number
619-297-2244
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA17814 (California)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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