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Mr. Justin Keadle, PA-C
Surgical Physician Assistant in San Luis Obispo, California
NPI 1801210026

Justin Keadle is a Surgical Physician Assistant based in San Luis Obispo, CA and is specialized in Surgical. Justin Keadle practices in San Luis Obispo, CA and has the professional credentials of PA-C. The NPI Number for Justin Keadle is 1801210026 and holds a License No. C05327 (California).

The current practice location address for Justin Keadle is 1010 Murray Ave, San Luis Obispo, CA and can be reached out via phone at 805-546-1997.

Location: 1010 Murray Ave, San Luis Obispo, CA, 93405-1806
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801210026
Provider Name
Justin Keadle
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1010 Murray Ave, San Luis Obispo, CA, 93405-1806
Phone Number
805-546-1997
Fax Number
Provider Enumeration Date
02/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1010 Murray Ave
City
San Luis Obispo
State
California
Zip
93405-1806
Phone Number
805-546-1997
Fax Number
person
Provider Business Mailing Address Details
Address
1010 Murray Ave
City
San Luis Obispo
State
California
Zip
93405-1806
Phone Number
805-546-1997
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA53511 (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
Surgical
Taxonomy
363AS0400X
License No.
C05327 (Maryland)
Definition
Definition to come...
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