Provider Demographics
NPI:1558417451
Name:SAUERS, GREG EDWARD (PA-C)
Entity Type:Individual
Prefix:MR
First Name:GREG
Middle Name:EDWARD
Last Name:SAUERS
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:601 VAN NESS AVE
Mailing Address - Street 2:APT. 631
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102
Mailing Address - Country:US
Mailing Address - Phone:415-440-2296
Mailing Address - Fax:415-865-3723
Practice Address - Street 1:45 CASTRO ST
Practice Address - Street 2:SUITE 432
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1010
Practice Address - Country:US
Practice Address - Phone:415-865-3737
Practice Address - Fax:415-865-3723
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA16996363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant