EDMAN FUENTES, PAC

PAC

Surgical Physician Assistant

NPI: 1013988955IndividualAccepts Medicare

Specialties, Licenses & Credentials

Surgical Physician AssistantPrimary

Physician Assistant — Surgical

Code: 363AS0400X

PA.008727(CO)PA51630(CA)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2002

Contact & Hours

Address: 900 GREENLEY RD, SUITE 914
SONORA, CA 95370
Phone: (925) 469-6274

Quick Facts

NPI: 1013988955
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 24

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