CHARLES J CREVELING

SEATTLE, WA
NPI1992842033
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA10001183)
Enumeration Date2007-01-30
Last Update Date2008-04-09
Business Address
-- CHARLES J CREVELING PAC
904 7TH AVE
SEATTLE, WA 98104-1132
Phone number: 206-223-6487
Mailing Address
-- CHARLES J CREVELING PAC
1100 OLIVE WAY MSC M4-PA
SEATTLE, WA 98101-1873
Phone number: 206-511-5581
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