CHARLES W ANDEREGG

SHELTON, WA
NPI1124056437
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: WA  PA10003420)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: PA  MA052594)
Enumeration Date2006-06-28
Last Update Date2020-11-16
Business Address
Mr. CHARLES W ANDEREGG PAC
1701 N 13TH ST STE A
SHELTON, WA 98584-2077
Phone number: 360-426-2653
Mailing Address
Mr. CHARLES W ANDEREGG PAC
PO BOX 1668
SHELTON, WA 98584-5001
Phone number: 360-427-9549