Provider Demographics
NPI:1811219579
Name:WANDS, ALAN CURTIS (PA)
Entity Type:Individual
Prefix:MR
First Name:ALAN
Middle Name:CURTIS
Last Name:WANDS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:995 POTRERO AVE # WARD83
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2859
Mailing Address - Country:US
Mailing Address - Phone:628-206-5252
Mailing Address - Fax:628-206-7505
Practice Address - Street 1:995 POTRERO AVE # WARD83
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2859
Practice Address - Country:US
Practice Address - Phone:628-206-5252
Practice Address - Fax:628-206-7505
Is Sole Proprietor?:No
Enumeration Date:2010-02-23
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA16974363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant