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Briccio J Guillermo, PA-C
Surgical Physician Assistant in Issaquah, Washington
NPI 1417291600

Briccio J Guillermo is a Surgical Physician Assistant based in Salt Lake City, WA and is specialized in Surgical. Briccio J Guillermo practices in Issaquah, WA and has the professional credentials of PA-C. The NPI Number for Briccio J Guillermo is 1417291600 and holds a License No. PA60452827 (Washington).

The current practice location address for Briccio J Guillermo is 751 Ne Blakely Dr Ste 4020, Issaquah, WA and can be reached out via phone at 425-313-7077 and via fax at 425-313-7072. You can also correspond with Briccio J Guillermo through the mailing address at PO BOX 25608, SALT LAKE CITY, UT - 84125-0608 (mailing address contact number: 206-320-4476).

Location: 751 Ne Blakely Dr Ste 4020, Issaquah, WA, 84125-0608
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Provider Profile Details
NPI Number
1417291600
Provider Name
Briccio J Guillermo
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
751 Ne Blakely Dr Ste 4020, Issaquah, WA, 84125-0608
Phone Number
425-313-7077
Fax Number
425-313-7072
Provider Enumeration Date
11/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417291600 05 WA
institution
Provider Business Practice Location Address Details
Address
751 Ne Blakely Dr Ste 4020
City
State
Zip
98029-6201
Phone Number
425-313-7077
Fax Number
425-313-7072
person
Provider Business Mailing Address Details
Address
751 Ne Blakely Dr Ste 4020
City
State
Zip
98029-6201
Phone Number
425-313-7077
Fax Number
425-313-7072
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA60452827 (Washington)
Definition
Definition to come...
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