Charles W Anderegg, PAC Valid NPI

Individual provider · Surgical Physician Assistant · Shelton, WA

NPI

1124056437

Type

Individual (Type 1)

Primary specialty

Surgical Physician Assistant (Physician Assistant)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363AS0400X

License number

PA10003420 (WA)

Sex

Male

Sole proprietor

No

Enumerated

2006-06-28

Last updated

2020-11-16