Individual
DEBRA J. PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
34800 BOB WILSON DR STE 3, SAN DIEGO, CA 92134-5301
(619) 532-7200
(619) 532-7234
Mailing address
34800 BOB WILSON DR STE 3, SAN DIEGO, CA 92134-1003
(619) 532-7200
(619) 532-7234
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00998
TX
363AM0700X
Medical Physician Assistant
1818646
CA
363AS0400X
Surgical Physician Assistant
18646
CA
Other
Enumeration date
04/26/2006
Last updated
02/25/2021
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