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1639282981
DEREK E SUCHARDA
WALLA WALLA, WA
NPI
1639282981
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WA PA10004244)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
DEREK E SUCHARDA PAC
380 CHASE ST
WALLA WALLA, WA 99362
Phone number: 509-522-5820
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Mailing Address
DEREK E SUCHARDA PAC
PO BOX 2292
WALLA WALLA, WA 99362
Phone number: 509-522-5815
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