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Mr. Spencer Laine Fodczuk, MPAS,PA-C
Physician Assistant in Puyallup, Washington
NPI 1831253145

Spencer Laine Fodczuk is a Physician Assistant based in Puyallup, WA. Spencer Laine Fodczuk practices in Puyallup, WA and has the professional credentials of MPAS,PA-C. The NPI Number for Spencer Laine Fodczuk is 1831253145 and holds a License No. (Washington).

The current practice location address for Spencer Laine Fodczuk is 3908 10Th St Se, Puyallup, WA and can be reached out via phone at 253-848-5951 and via fax at 253-845-7073. You can also correspond with Spencer Laine Fodczuk through the mailing address at 3908 10TH ST SE, PUYALLUP, WA - 98374-2188 (mailing address contact number: 253-848-5951).

Location: 3908 10Th St Se, Puyallup, WA, 98374-2188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831253145
Provider Name
Spencer Laine Fodczuk
Credential
MPAS,PA-C
Provider Entity Type
Individual
Gender
Male
Address
3908 10Th St Se, Puyallup, WA, 98374-2188
Phone Number
253-848-5951
Fax Number
253-845-7073
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3908 10Th St Se
City
Puyallup
State
Washington
Zip
98374-2188
Phone Number
253-848-5951
Fax Number
253-845-7073
person
Provider Business Mailing Address Details
Address
3908 10Th St Se
City
Puyallup
State
Washington
Zip
98374-2188
Phone Number
253-848-5951
Fax Number
253-845-7073
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
PA60344476 (Washington)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
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