TERRY LANE GRAM

TACOMA, WA
NPI1225186836
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  025211 PA10003250)
Enumeration Date2007-01-08
Last Update Date2013-10-02
Business Address
Mr. TERRY LANE GRAM PA-C
MADIGAN ARMY MEDICAL CENTER 9040 A REID ST
TACOMA, WA 98431-1100
Phone number: 253-968-1110
Mailing Address
Mr. TERRY LANE GRAM PA-C
MADIGAN ARMY MEDICAL CENTER 9040 A REID ST
TACOMA, WA 98431-1100
Phone number: 253-968-1110
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