DEREK E SUCHARDA

WALLA WALLA, WA
NPI1639282981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10004244)
Enumeration Date2006-08-17
Last Update Date2007-07-08
Business Address
DEREK E SUCHARDA PAC
380 CHASE ST
WALLA WALLA, WA 99362
Phone number: 509-522-5820
Mailing Address
DEREK E SUCHARDA PAC
PO BOX 2292
WALLA WALLA, WA 99362
Phone number: 509-522-5815