NPI 1003364191

Taylor Suzanne Wahl, PAC

Practitioner Physician Assistant San Luis Obispo, CA

Practice location

Address: 1235 Osos St # 100, San Luis Obispo, CA 93401-3619
Phone: (805) 549-0888

Registered specialties (3)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA57177 (CA)

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003364191
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Sep 2016
Record last updated: 30 Aug 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.