Most Relevant Information
Provider Data
| NPI Number: | 1003264359 |
| Provider Name: | WYATT STEBBINS PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/27/2016 |
| Last Updated: | 05/27/2016 |
Provider Practice Location
1000 GREENLEY RD
SONORA
CA
953705200
Practice Location Phone/Fax
| Phone: | 2095321326 |
| Fax: |
Provider Mailing Location
PO BOX 4685
SONORA
CA
953701685
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |