person
Mrs. Suzanne M Richardson, PAC
Medical Physician Assistant in Puyallup, Washington
NPI 1417068263

Suzanne M Richardson is a Medical Physician Assistant based in Puyallup, WA and is specialized in Medical. Suzanne M Richardson practices in Puyallup, WA and has the professional credentials of PAC. The NPI Number for Suzanne M Richardson is 1417068263 and holds a License No. PA10004546 (Washington).

The current practice location address for Suzanne M Richardson is 11216 Sunrise Blvd E Ste 3-102, Puyallup, WA and can be reached out via phone at 253-848-3000 and via fax at 253-845-8750.

Location: 11216 Sunrise Blvd E Ste 3-102, Puyallup, WA, 98371-7590
person
Provider Profile Details
NPI Number
1417068263
Provider Name
Suzanne M Richardson
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
11216 Sunrise Blvd E Ste 3-102, Puyallup, WA, 98371-7590
Phone Number
253-848-3000
Fax Number
253-845-8750
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8372955 05 WA
institution
Provider Business Practice Location Address Details
Address
11216 Sunrise Blvd E Ste 3-102
City
State
Zip
98374-8848
Phone Number
253-848-3000
Fax Number
253-845-8750
person
Provider Business Mailing Address Details
Address
11216 Sunrise Blvd E Ste 3-102
City
State
Zip
98374-8848
Phone Number
253-848-3000
Fax Number
253-845-8750
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10004546 (Washington)
Definition
Definition to come...
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