MEDICARE: MS. MARY CATHERINE SILVER PA

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	PA11268	CA

General Provider Information

NPI Number	:	1740284686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY CATHERINE SILVER PA

Provider Business Mailing Address
First Line	:	2367 HARRISON AVE
Second Line	:
City	:	EUREKA
State	:	CA
Zip	:	95501-3216
Country	:	US
Telephone Number	:	707-443-1130
Fax Number	:	707-443-1572

Provider Business Practice Location Address
First Line	:	2367 HARRISON AVE
Second Line	:
City	:	EUREKA
State	:	CA
Zip	:	95501-3216
Country	:	US
Telephone Number	:	707-443-1130
Fax Number	:	707-443-1572

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	07/08/2007

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