Individual provider · NPI-1

Garrett Austin, PA

Physician Assistant · Stockton, CA

NPI number1508501883
StatusActive
Last updated in NPPESMay 2, 2022

Details

NPI
1508501883
Entity type
Individual (NPI-1)
Name
Garrett Austin
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
May 2, 2022
Certification date
Apr 30, 2022
Last updated
May 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant–CAYes

Practice location

1800 N California St
Stockton, CA 95204-6019

Phone 209-943-2000

Mailing address

342 W Jordan Ave
Clovis, CA 93611-7181

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