PHILLIP RANDALL INGRAM

TACOMA, WA
NPI1942262589
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA10002587)
Enumeration Date2006-04-06
Last Update Date2007-07-08
Business Address
Mr. PHILLIP RANDALL INGRAM PAC
9600 VETERANS DR SW
TACOMA, WA 98493-0003
Phone number: 253-582-8440
Mailing Address
Mr. PHILLIP RANDALL INGRAM PAC
16809 88TH STREET KPS
LONGBRANCH, WA 98351-9521
Phone number: 253-884-4315