Provider Demographics
NPI:1215587266
Name:WELSH, STANTON (PA-C)
Entity Type:Individual
Prefix:
First Name:STANTON
Middle Name:
Last Name:WELSH
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 ABBOTT ST STE A
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4486
Mailing Address - Country:US
Mailing Address - Phone:831-206-1201
Mailing Address - Fax:
Practice Address - Street 1:333 ABBOTT ST STE A
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4486
Practice Address - Country:US
Practice Address - Phone:831-206-1201
Practice Address - Fax:831-417-4261
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-11
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty