Provider Demographics
NPI:1558539700
Name:DOBLER, ERIN ALYSON (PA-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:ALYSON
Last Name:DOBLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:710 LAWRENCE EXPY
Mailing Address - Street 2:DEPT 148
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-5173
Mailing Address - Country:US
Mailing Address - Phone:408-851-1850
Mailing Address - Fax:408-851-1871
Practice Address - Street 1:710 LAWRENCE EXPY
Practice Address - Street 2:DEPT 148
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95051-5173
Practice Address - Country:US
Practice Address - Phone:408-851-1850
Practice Address - Fax:408-851-1871
Is Sole Proprietor?:No
Enumeration Date:2008-02-11
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPA-19575OtherPA LICENSE