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Joseph Province, PA
Surgical Physician Assistant in Vancouver, Washington
NPI 1558797365

Joseph Province is a Surgical Physician Assistant based in Vancouver, WA and is specialized in Surgical. Joseph Province practices in Vancouver, WA and has the professional credentials of PA. The NPI Number for Joseph Province is 1558797365 and holds a License No. PA9107470 (Washington).

The current practice location address for Joseph Province is 200 Ne Mother Joseph Pl Ste 210, Vancouver, WA and can be reached out via phone at 360-254-6161 and via fax at 360-449-1146. You can also correspond with Joseph Province through the mailing address at 200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA - 98664-3295 (mailing address contact number: 360-254-6161).

Location: 200 Ne Mother Joseph Pl Ste 210, Vancouver, WA, 98664-3295
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Provider Profile Details
NPI Number
1558797365
Provider Name
Joseph Province
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
200 Ne Mother Joseph Pl Ste 210, Vancouver, WA, 98664-3295
Phone Number
360-254-6161
Fax Number
360-449-1146
Provider Enumeration Date
09/25/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010158600 05 FL
institution
Provider Business Practice Location Address Details
Address
200 Ne Mother Joseph Pl Ste 210
City
State
Zip
98664-3295
Phone Number
360-254-6161
Fax Number
360-449-1146
person
Provider Business Mailing Address Details
Address
200 Ne Mother Joseph Pl Ste 210
City
State
Zip
98664-3295
Phone Number
360-254-6161
Fax Number
360-449-1146
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA9107470 (Florida)
Definition
Definition to come...
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