person
Marilynn Kirchubel, PA
Medical Physician Assistant in Tracy, California
NPI 1881014702

Marilynn Kirchubel is a Medical Physician Assistant based in Tracy, CA and is specialized in Medical. Marilynn Kirchubel practices in Tracy, CA and has the professional credentials of PA. The NPI Number for Marilynn Kirchubel is 1881014702 and holds a License No. PA 11603 (California).

The current practice location address for Marilynn Kirchubel is 2160 W Grant Line Rd Ste 230, Tracy, CA and can be reached out via phone at 209-832-8700 and via fax at 209-832-2210.

Location: 2160 W Grant Line Rd Ste 230, Tracy, CA, 95377-7334
person
Provider Profile Details
NPI Number
1881014702
Provider Name
Marilynn Kirchubel
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
2160 W Grant Line Rd Ste 230, Tracy, CA, 95377-7334
Phone Number
209-832-8700
Fax Number
209-832-2210
Provider Enumeration Date
04/17/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA 11603 01 CA STATE OF CALIFORNIA PHYSICIAN ASSISTANT LICENSE
institution
Provider Business Practice Location Address Details
Address
2160 W Grant Line Rd Ste 230
City
State
Zip
95377-7334
Phone Number
209-832-8700
Fax Number
209-832-2210
person
Provider Business Mailing Address Details
Address
2160 W Grant Line Rd Ste 230
City
State
Zip
95377-7334
Phone Number
209-832-8700
Fax Number
209-832-2210
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA 11603 (California)
Definition
Definition to come...
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