Individual
PATRICK JACKSON SPALDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 JAMES WAY, SUITE 106, PISMO BEACH, CA 93449-4973
(805) 773-3060
(805) 269-0026
Mailing address
2 JAMES WAY, SUITE 106, PISMO BEACH, CA 93449-4973
(805) 773-3060
(805) 269-0026
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G83816
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G838160
—
CA
Enumeration date
10/24/2006
Last updated
07/19/2012
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