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Contact Information

DUSTIN K WETMORE, PA-C
121 SOTOYOME ST STE 201
SANTA ROSA, CA95405
 Phone: 707-308-3101
 Fax: 707-546-4062
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DUSTIN K WETMORE · (Male)

NPI Number 1710320437
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/11/2013
Last updated 11/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CA License # PA22901
  • CA Other PA22901 PHYSICIAN ASSISTANT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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