Dean Kirk Douglas PA-C

NPI 1053424333 - Physician Assistant - 363AS0400X

NPI Details
NPI 1053424333
Gender Male
Enumeration Date 08/17/2006
Last Updated 11/10/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
1112 6TH AVE
STE 300
TACOMA WA, 98405-4040, US
Phone (253) 272-2224
Fax (253) 572-4624
Business Location
1112 6TH AVE
STE 300
TACOMA WA, 98405-4040, US
Phone (253) 272-2224
Fax (253) 572-4624
Toxanomy
Taxonomy Code 363AS0400X
License State Washington
License Number PA10005076
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According to our database, Dean Kirk Douglas PA-C NPI is 1053424333, taxonomy code is 363AS0400X and license number is PA10005076, license state is located at Washington. Dean Kirk Douglas PA-C physically located at 1112 6th Ave, Tacoma WA, 98405-4040. NPI Number Dean Kirk Douglas PA-C has the Individual type.

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1053424333 NPI number is provided on an as is basis without warranty of any kind. 1053424333 is maintained by the National Plan & Provider Enumeration System. The contents of Dean Kirk Douglas PA-C are for informational purposes only.