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Staci E Dumas, PA-C
Medical Physician Assistant in Emeryville, California
NPI 1568493211

Staci E Dumas is a Medical Physician Assistant based in Emeryville, CA and is specialized in Medical. Staci E Dumas practices in Emeryville, CA and has the professional credentials of PA-C. The NPI Number for Staci E Dumas is 1568493211 and holds a License No. PA10004405 (California).

The current practice location address for Staci E Dumas is 2100 Powell St, Emeryville, CA and can be reached out via phone at 510-350-2600.

Location: 2100 Powell St, Emeryville, CA, 94608-1826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568493211
Provider Name
Staci E Dumas
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2100 Powell St, Emeryville, CA, 94608-1826
Phone Number
510-350-2600
Fax Number
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8331654 05 WA
0165296 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
2100 Powell St
City
Emeryville
State
California
Zip
94608-1826
Phone Number
510-350-2600
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Powell St
City
Emeryville
State
California
Zip
94608-1826
Phone Number
510-350-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA10004405 (Washington)
Definition
Definition to come...
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