Individual
CORBIN HENRY WIRTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3838 CALIFORNIA ST RM 108, SAN FRANCISCO, CA 94118-1504
(415) 668-8010
Mailing address
1 ARROWHEAD LN, CORTE MADERA, CA 94925-1015
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA64379
CA
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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