person
Stephanie E Pongracz, PA
Surgical Physician Assistant in Santa Monica, California
NPI 1508172016

Stephanie E Pongracz is a Surgical Physician Assistant based in Los Angeles, CA and is specialized in Surgical. Stephanie E Pongracz practices in Santa Monica, CA and has the professional credentials of PA. The NPI Number for Stephanie E Pongracz is 1508172016 and holds a License No. PA20968 (California).

The current practice location address for Stephanie E Pongracz is 2020 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-928-2663 and via fax at 310-315-2198.

Location: 2020 Santa Monica Blvd, Santa Monica, CA, 90025-7548
person
Provider Profile Details
NPI Number
1508172016
Provider Name
Stephanie E Pongracz
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2020 Santa Monica Blvd, Santa Monica, CA, 90025-7548
Phone Number
310-928-2663
Fax Number
310-315-2198
Provider Enumeration Date
08/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2020 Santa Monica Blvd
City
State
Zip
90404-2023
Phone Number
310-928-2663
Fax Number
310-315-2198
person
Provider Business Mailing Address Details
Address
2020 Santa Monica Blvd
City
State
Zip
90404-2023
Phone Number
310-928-2663
Fax Number
310-315-2198
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA20968 (California)
Definition
Definition to come...
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