MEDICARE: DAVID PALER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	67113	CA

General Provider Information

NPI Number	:	1629868054
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID PALER PA-C

Provider Business Mailing Address
First Line	:	233 E GLENCANNON ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95210-1951
Country	:	US
Telephone Number	:	209-747-4242
Fax Number	:

Provider Business Practice Location Address
First Line	:	233 E GLENCANNON ST
Second Line	:
City	:	STOCKTON
State	:	CA
Zip	:	95210-1951
Country	:	US
Telephone Number	:	209-747-4242
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	03/13/2026

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Directions to “ DAVID PALER PA-C” Practice Location

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