Dale Robertson

NPI 1699935379 - Physician Assistant - 363A00000X

NPI Details
NPI 1699935379
Gender Male
Enumeration Date 06/16/2008
Last Updated 06/16/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
7413 3RD DR W
EVERETT WA, 98203-4960, US
Phone (425) 347-3689
Fax
Business Location
7413 3RD DR W
EVERETT WA, 98203-4960, US
Phone (425) 347-3689
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Washington
License Number 60011748
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According to our database, Dale Robertson NPI is 1699935379, taxonomy code is 363A00000X and license number is 60011748, license state is located at Washington. Dale Robertson physically located at 7413 3rd Dr W, Everett WA, 98203-4960. NPI Number Dale Robertson has the Individual type.

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1699935379 NPI number is provided on an as is basis without warranty of any kind. 1699935379 is maintained by the National Plan & Provider Enumeration System. The contents of Dale Robertson are for informational purposes only.