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Mr. Charles W Anderegg, PAC
Surgical Physician Assistant in Shelton, Washington
NPI 1124056437

Charles W Anderegg is a Surgical Physician Assistant based in Shelton, WA and is specialized in Surgical. Charles W Anderegg practices in Shelton, WA and has the professional credentials of PAC. The NPI Number for Charles W Anderegg is 1124056437 and holds a License No. MA052594 (Washington).

The current practice location address for Charles W Anderegg is 1701 N 13Th St Ste A, Shelton, WA and can be reached out via phone at 360-426-2653.

Location: 1701 N 13Th St Ste A, Shelton, WA, 98584-5001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124056437
Provider Name
Charles W Anderegg
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1701 N 13Th St Ste A, Shelton, WA, 98584-5001
Phone Number
360-426-2653
Fax Number
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8521973 05 WA
institution
Provider Business Practice Location Address Details
Address
1701 N 13Th St Ste A
City
Shelton
State
Washington
Zip
98584-2077
Phone Number
360-426-2653
Fax Number
person
Provider Business Mailing Address Details
Address
1701 N 13Th St Ste A
City
Shelton
State
Washington
Zip
98584-2077
Phone Number
360-426-2653
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
MA052594 (Pennsylvania)
Definition
Definition to come...
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