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Dean Kirk Douglas, PA-C
Surgical Physician Assistant in Tacoma, Washington
NPI 1053424333

Dean Kirk Douglas is a Surgical Physician Assistant based in Tacoma, WA and is specialized in Surgical. Dean Kirk Douglas practices in Tacoma, WA and has the professional credentials of PA-C. The NPI Number for Dean Kirk Douglas is 1053424333 and holds a License No. PA10005076 (Washington).

The current practice location address for Dean Kirk Douglas is 1112 6Th Ave, Tacoma, WA and can be reached out via phone at 253-272-2224 and via fax at 253-572-4624. You can also correspond with Dean Kirk Douglas through the mailing address at 1112 6TH AVE, TACOMA, WA - 98405-4040 (mailing address contact number: 253-272-2224).

Location: 1112 6Th Ave, Tacoma, WA, 98405-4040
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Provider Profile Details
NPI Number
1053424333
Provider Name
Dean Kirk Douglas
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1112 6Th Ave, Tacoma, WA, 98405-4040
Phone Number
253-272-2224
Fax Number
253-572-4624
Provider Enumeration Date
08/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8466047 05 WA
8942898 01 WA STATE CRIME VICTIMS
P00354460 01 WA MEDICARE RAILROAD
0214034 01 WA STATE L&I
institution
Provider Business Practice Location Address Details
Address
1112 6Th Ave
City
State
Zip
98405-4040
Phone Number
253-272-2224
Fax Number
253-572-4624
person
Provider Business Mailing Address Details
Address
1112 6Th Ave
City
State
Zip
98405-4040
Phone Number
253-272-2224
Fax Number
253-572-4624
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA10005076 (Washington)
Definition
Definition to come...
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