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Individual

SUSAN MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833
(650) 934-7000
Mailing address
701 E EL CAMINO REAL, MOUNTAIN VIEW, CA 94040-2833

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA16225
CA
363AS0400X
Surgical Physician Assistant
Primary
PA16225
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA10426
P A LICENSE
CA
Enumeration date
11/28/2006
Last updated
08/31/2011
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