Individual
ROBERTA SPURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9099 SOQUEL DR, BLDG 7, APTOS, CA 95003-4033
(831) 662-2997
(831) 662-3888
Mailing address
9099 SOQUEL DR, BLDG 7, APTOS, CA 95003-4033
(831) 662-2997
(831) 662-3888
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA11419
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11419
CA LICENSE
CA
Enumeration date
02/24/2009
Last updated
02/24/2009
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