Alvin Massenburg PA-C

NPI 1780991034 - Physician Assistant - 363AM0700X

NPI Details
NPI 1780991034
Gender Male
Enumeration Date 09/08/2010
Last Updated 03/02/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
GRANDVIEW WA, 98930-8805, US
Phone (509) 882-4275
Fax (509) 882-2049
Business Location
PO BOX 190
TOPPENISH WA, 98948-0190, US
Phone (509) 882-4275
Taxonomy Code 363AM0700X
License State Washington
License Number 60180642
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According to our database, Mr. Alvin Massenburg PA-C NPI is 1780991034, taxonomy code is 363AM0700X and license number is 60180642, license state is located at Washington. Alvin Massenburg PA-C physically located at 1000 Wallace Way, Grandview WA, 98930-8805. NPI Number Alvin Massenburg PA-C has the Individual type.

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1780991034 NPI number is provided on an as is basis without warranty of any kind. 1780991034 is maintained by the National Plan & Provider Enumeration System. The contents of Alvin Massenburg PA-C are for informational purposes only.