Unknown Individual – Medical Physician Assistant, NPI 1770531592
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
9040 REID ST
TACOMA, WA 984310001
Phone: (253) 968-1162
Fax: (253) 968-1888
Type: Location
Kent Court, Cambridge Place, Old Union, Southlake, Tarrant County, Texas, 76092, United States
KENT, WA 980327627
Phone: (253) 859-3818
Fax: (253) 859-3914
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98431)
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