THOMAS RUSSELL PRIESKORN

SHELTON, WA
NPI1366421174
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA10004942)
Enumeration Date2006-01-10
Last Update Date2015-03-03
Business Address
Mr. THOMAS RUSSELL PRIESKORN PA-C
901 MOUNTAIN VIEW DR
SHELTON, WA 98584-4401
Phone number: 360-426-1611
Mailing Address
Mr. THOMAS RUSSELL PRIESKORN PA-C
PO BOX 1668
SHELTON, WA 98584-5001
Phone number: 360-426-1611
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