Doctor Name: | MISS DARCY SCHROER |
NPI Number: | 1003840141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | FA17989 |
Business Practice Address: | 653 Camino De Los Mares Ste 109 San Clemente, CA - 926732808 |
Business Phone Number: | 9496612423 |
Business Fax Number: | 9496619205 |
Mailing Address: | 653 Camino De Los Mares Ste 109, SAN CLEMENTE |
State: | CA |
Postal Code: | 926732808 |
Phone Number: | 9496612423 |
Fax Number: | 9496619205 |
NPI Enumeration Date: | 07/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | FA17989 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |