person
Theresa A Jovanovich, PAC
Surgical Physician Assistant in Federal Way, Washington
NPI 1356490486

Theresa A Jovanovich is a Surgical Physician Assistant based in Seattle, WA and is specialized in Surgical. Theresa A Jovanovich practices in Federal Way, WA and has the professional credentials of PAC. The NPI Number for Theresa A Jovanovich is 1356490486 and holds a License No. PA10004066 (Washington).

The current practice location address for Theresa A Jovanovich is 33501 1St Way S, Federal Way, WA and can be reached out via phone at 253-838-2400 and via fax at 253-874-1634.

Location: 33501 1St Way S, Federal Way, WA, 98101-2756
person
Provider Profile Details
NPI Number
1356490486
Provider Name
Theresa A Jovanovich
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
33501 1St Way S, Federal Way, WA, 98101-2756
Phone Number
253-838-2400
Fax Number
253-874-1634
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
970030800 01 WA RAILROAD MC#
0335JO 01 WA BLUE SHIELD #
8362543 05 WA
0039594 01 WA LABOR AND INDUSTRIES #
US7233432 01 WA AETNA SPECIALIST PIN
institution
Provider Business Practice Location Address Details
Address
33501 1St Way S
City
State
Zip
98003-6208
Phone Number
253-838-2400
Fax Number
253-874-1634
person
Provider Business Mailing Address Details
Address
33501 1St Way S
City
State
Zip
98003-6208
Phone Number
253-838-2400
Fax Number
253-874-1634
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA10004066 (Washington)
Definition
Definition to come...
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