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Jacob I. Blazzard, PA-C
Physician Assistant in Clarkston, Washington
NPI 1326125485

Jacob I. Blazzard is a Physician Assistant based in Troy, WA. Jacob I. Blazzard practices in Clarkston, WA and has the professional credentials of PA-C. The NPI Number for Jacob I. Blazzard is 1326125485 and holds a License No. PA-1221 (Washington).

The current practice location address for Jacob I. Blazzard is 1433 5Th St, Clarkston, WA and can be reached out via phone at 509-758-5141 and via fax at 509-758-5299.

Location: 1433 5Th St, Clarkston, WA, 83871-6002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326125485
Provider Name
Jacob I. Blazzard
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
1433 5Th St, Clarkston, WA, 83871-6002
Phone Number
509-758-5141
Fax Number
509-758-5299
Provider Enumeration Date
11/01/2006
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1433 5Th St
City
Clarkston
State
Washington
Zip
99403-2714
Phone Number
509-758-5141
Fax Number
509-758-5299
person
Provider Business Mailing Address Details
Address
1433 5Th St
City
Clarkston
State
Washington
Zip
99403-2714
Phone Number
509-758-5141
Fax Number
509-758-5299
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
361 (Wyoming)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA-1221 (Idaho)
Definition
Definition to come...
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