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Luis Carlos Alcalde, PHYSICIANASSISTANT
Medical Physician Assistant in Othello, Washington
NPI 1376521229

Luis Carlos Alcalde is a Medical Physician Assistant based in Othello, WA and is specialized in Medical. Luis Carlos Alcalde practices in Othello, WA and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Luis Carlos Alcalde is 1376521229 and holds a License No. PA10001584 (Washington).

The current practice location address for Luis Carlos Alcalde is 1515 E Columbia St, Othello, WA and can be reached out via phone at 509-488-5256 and via fax at 509-488-5256.

Location: 1515 E Columbia St, Othello, WA, 99344-1846
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Provider Profile Details
NPI Number
1376521229
Provider Name
Luis Carlos Alcalde
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Male
Address
1515 E Columbia St, Othello, WA, 99344-1846
Phone Number
509-488-5256
Fax Number
509-488-5256
Provider Enumeration Date
01/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1037922 05 WA
institution
Provider Business Practice Location Address Details
Address
1515 E Columbia St
City
State
Zip
99344-1846
Phone Number
509-488-5256
Fax Number
509-488-5256
person
Provider Business Mailing Address Details
Address
1515 E Columbia St
City
State
Zip
99344-1846
Phone Number
509-488-5256
Fax Number
509-488-5256
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10001584 (Washington)
Definition
Definition to come...
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