Individual
DIANA MCCAFFERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4000 DUBLIN BLVD STE 100, DUBLIN, CA 94568-3122
(800) 934-8099
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
(925) 933-2709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
59379
CA
363AS0400X
Surgical Physician Assistant
Primary
59379
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/01/2019
Last updated
06/23/2022
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