DOUGLAS EDISON WEST

WALLA WALLA, WA
NPI1104884295
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10003131)
Enumeration Date2006-05-01
Last Update Date2021-03-01
Business Address
DOUGLAS EDISON WEST PAC
301 W POPLAR ST STE 220
WALLA WALLA, WA 99362-2858
Phone number: 509-522-1030
Mailing Address
DOUGLAS EDISON WEST PAC
PO BOX 32
LIBERTY LAKE, WA 99019-0032
Phone number: 509-529-8905
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