Provider Demographics
NPI:1528547106
Name:FRANK, STEVEN CHARLES (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CHARLES
Last Name:FRANK
Suffix:
Gender:M
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:11801 GO FOR BROKE RD
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-7055
Mailing Address - Country:US
Mailing Address - Phone:916-409-8261
Mailing Address - Fax:916-409-8267
Practice Address - Street 1:11801 GO FOR BROKE RD
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-7055
Practice Address - Country:US
Practice Address - Phone:916-409-8261
Practice Address - Fax:916-409-8267
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA12636363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty