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Waide Hicks Gonzales, PA-C
Physician Assistant in Sebastopol, California
NPI 1881278687

Waide Hicks Gonzales is a Physician Assistant based in Sebastopol, CA. Waide Hicks Gonzales practices in Sebastopol, CA and has the professional credentials of PA-C. The NPI Number for Waide Hicks Gonzales is 1881278687 and holds a License No. (California).

The current practice location address for Waide Hicks Gonzales is 4352 Daywalt Rd, Sebastopol, CA and can be reached out via phone at 408-504-4051.

Location: 4352 Daywalt Rd, Sebastopol, CA, 95472-6011
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881278687
Provider Name
Waide Hicks Gonzales
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
4352 Daywalt Rd, Sebastopol, CA, 95472-6011
Phone Number
408-504-4051
Fax Number
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4352 Daywalt Rd
City
Sebastopol
State
California
Zip
95472-6011
Phone Number
408-504-4051
Fax Number
person
Provider Business Mailing Address Details
Address
4352 Daywalt Rd
City
Sebastopol
State
California
Zip
95472-6011
Phone Number
408-504-4051
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA60135 (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
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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