person
Angela Wyble, PAC
Medical Physician Assistant in Santa Rosa, California
NPI 1871588715

Angela Wyble is a Medical Physician Assistant based in Santa Rosa, CA and is specialized in Medical. Angela Wyble practices in Santa Rosa, CA and has the professional credentials of PAC. The NPI Number for Angela Wyble is 1871588715 and holds a License No. PA17243 (California).

The current practice location address for Angela Wyble is 2725 Mendocino Ave, Santa Rosa, CA and can be reached out via phone at 707-545-4537 and via fax at 707-545-6726. You can also correspond with Angela Wyble through the mailing address at 2725 MENDOCINO AVE, SANTA ROSA, CA - 95403-2805 (mailing address contact number: 707-545-4537).

Location: 2725 Mendocino Ave, Santa Rosa, CA, 95403-2805
person
Provider Profile Details
NPI Number
1871588715
Provider Name
Angela Wyble
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
2725 Mendocino Ave, Santa Rosa, CA, 95403-2805
Phone Number
707-545-4537
Fax Number
707-545-6726
Provider Enumeration Date
09/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1871588715 05 CA
P01795158 01 CA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2725 Mendocino Ave
City
State
Zip
95403-2805
Phone Number
707-545-4537
Fax Number
707-545-6726
person
Provider Business Mailing Address Details
Address
2725 Mendocino Ave
City
State
Zip
95403-2805
Phone Number
707-545-4537
Fax Number
707-545-6726
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA17243 (California)
Definition
Definition to come...
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