Provider Demographics
NPI:1659356095
Name:MA, STEVE (PA C MS)
Entity Type:Individual
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First Name:STEVE
Middle Name:
Last Name:MA
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Gender:M
Credentials:PA C MS
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Mailing Address - Street 1:3201 DE ANZA PL
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-3026
Mailing Address - Country:US
Mailing Address - Phone:925-803-9680
Mailing Address - Fax:
Practice Address - Street 1:150 MUIR RD
Practice Address - Street 2:DEPT OF VETERANS AFFAIRS
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-4668
Practice Address - Country:US
Practice Address - Phone:925-372-2000
Practice Address - Fax:925-372-2804
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA17255363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical