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Mr. Phillip Randall Ingram, PAC
Medical Physician Assistant in Tacoma, Washington
NPI 1942262589

Phillip Randall Ingram is a Medical Physician Assistant based in Longbranch, WA and is specialized in Medical. Phillip Randall Ingram practices in Tacoma, WA and has the professional credentials of PAC. The NPI Number for Phillip Randall Ingram is 1942262589 and holds a License No. PA10002587 (Washington).

The current practice location address for Phillip Randall Ingram is 9600 Veterans Dr Sw, Tacoma, WA and can be reached out via phone at 253-582-8440. You can also correspond with Phillip Randall Ingram through the mailing address at 16809 88TH STREET KPS, LONGBRANCH, WA - 98351-9521 (mailing address contact number: 253-884-4315).

Location: 9600 Veterans Dr Sw, Tacoma, WA, 98351-9521
person
Provider Profile Details
NPI Number
1942262589
Provider Name
Phillip Randall Ingram
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
9600 Veterans Dr Sw, Tacoma, WA, 98351-9521
Phone Number
253-582-8440
Fax Number
Provider Enumeration Date
04/06/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
9600 Veterans Dr Sw
City
State
Zip
98493-0003
Phone Number
253-582-8440
Fax Number
person
Provider Business Mailing Address Details
Address
16809 88Th Street Kps
City
State
Zip
98351-9521
Phone Number
253-884-4315
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA10002587 (Washington)
Definition
Definition to come...
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