Grant Alexander Yelliott II PA C

NPI 1013055482 - Physician Assistant - 363A00000X

NPI Details
NPI 1013055482
Gender Male
Enumeration Date 02/01/2007
Last Updated 04/02/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
1717 S J ST
TACOMA WA, 98405-4933, US
Phone (253) 426-6660
Fax (253) 426-6250
Business Location
505 S 336TH ST
SUITE 600
FEDERAL WAY WA, 98003-6328, US
Phone (253) 838-6180
Fax (253) 838-6418
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Grant Alexander Yelliott II PA C NPI is 1013055482, taxonomy code is 363A00000X Grant Alexander Yelliott II PA C physically located at 1717 S J St, Tacoma WA, 98405-4933. NPI Number Grant Alexander Yelliott II PA C has the Individual type.

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1013055482 NPI number is provided on an as is basis without warranty of any kind. 1013055482 is maintained by the National Plan & Provider Enumeration System. The contents of Grant Alexander Yelliott II PA C are for informational purposes only.