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DEBRA BETH ANZIANO PA-C
Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1538183686
Individual Registrant: DEBRA BETH ANZIANO PA-C
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
10 PALOMA DR CORTE MADERA, CA 94925-2016 US
Tel: 415-609-0015 Fax: 415-927-8145
Tel: 415-609-0015 Fax: 415-927-8145
Contact information for business:
10 PALOMA DR CORTE MADERA, CA 94925-2016 US
Tel: 415-609-0015 Fax: 415-927-8145
Tel: 415-609-0015 Fax: 415-927-8145
Registration Information:
NPI: 1538183686
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical | CA | PA011709 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
