MEDICARE: MS. SARA ANNE SYER 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	363AM0700X	Medical Physician Assistant	PA 12265	CA

General Provider Information

NPI Number	:	1922004571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SARA ANNE SYER PA-C

Provider Business Mailing Address
First Line	:	1580 VALENCIA ST
Second Line	:	SUITE # 602,
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4423
Country	:	US
Telephone Number	:	415-641-2160
Fax Number	:	415-641-2165

Provider Business Practice Location Address
First Line	:	1580 VALENCIA ST
Second Line	:	SUITE # 602,
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-4423
Country	:	US
Telephone Number	:	415-641-2160
Fax Number	:	415-641-2165

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	07/08/2007

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