Susan M Sanborn PA-C

NPI 1790790137 - Physician Assistant - 363A00000X

NPI Details
NPI 1790790137
Gender Female
Enumeration Date 07/31/2006
Last Updated 11/17/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
3021 GRIFFIN AVE
ENUMCLAW WA, 98022-2369, US
Phone (360) 825-6511
Fax (360) 825-6536
Business Location
3021 GRIFFIN AVE
ENUMCLAW WA, 98022-2369, US
Phone (360) 825-6511
Fax (360) 825-6536
Toxanomy
Taxonomy Code 363A00000X
License State Washington
License Number PA10002391
Remove 1790790137 NPI Number
 

According to our database, Susan M Sanborn PA-C NPI is 1790790137, taxonomy code is 363A00000X and license number is PA10002391, license state is located at Washington. Susan M Sanborn PA-C physically located at 3021 Griffin Ave, Enumclaw WA, 98022-2369. NPI Number Susan M Sanborn PA-C has the Individual type.

Sponsored links

1790790137 NPI number is provided on an as is basis without warranty of any kind. 1790790137 is maintained by the National Plan & Provider Enumeration System. The contents of Susan M Sanborn PA-C are for informational purposes only.