Basic Information
| Provider Information | |||||||||
| NPI: | 1063654184 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DENBY | ||||||||
| FirstName: | CANDICE | ||||||||
| MiddleName: | AUSTIN | ||||||||
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| Credential: | PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 45 CASTRO ST | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941141010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5104283885 | ||||||||
| FaxNumber: | 5104283405 | ||||||||
| Practice Location | |||||||||
| Address1: | 45 CASTRO ST | ||||||||
| Address2: | SUITE 410 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941141010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4155656884 | ||||||||
| FaxNumber: | 4156006886 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/03/2009 | ||||||||
| LastUpdateDate: | 06/20/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | PA19889 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.