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Shannon M. Goddard, PA
Medical Physician Assistant in Lemon Grove, California
NPI 1780961417

Shannon M. Goddard is a Medical Physician Assistant based in Espanola, CA and is specialized in Medical. Shannon M. Goddard practices in Lemon Grove, CA and has the professional credentials of PA. The NPI Number for Shannon M. Goddard is 1780961417 and holds a License No. 3347 (California).

The current practice location address for Shannon M. Goddard is 7592 Broadway, Lemon Grove, CA and can be reached out via phone at 619-515-2300.

Location: 7592 Broadway, Lemon Grove, CA, 87532-0158
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780961417
Provider Name
Shannon M. Goddard
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7592 Broadway, Lemon Grove, CA, 87532-0158
Phone Number
619-515-2300
Fax Number
Provider Enumeration Date
11/09/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7592 Broadway
City
Lemon Grove
State
California
Zip
91945-1604
Phone Number
619-515-2300
Fax Number
person
Provider Business Mailing Address Details
Address
7592 Broadway
City
Lemon Grove
State
California
Zip
91945-1604
Phone Number
619-515-2300
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
56072 (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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
3347 (Colorado)
Definition
Definition to come...
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