JACOB BLAZZARD, PA-C
Physician Assistant
Active
Individual
NPI: 1326125485
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA60099484 (WA) |
| Physician Assistant - Medical | 363AM0700X | No | PA60099484 (WA) |
Frequently Asked Questions
NPI 1326125485 is the National Provider Identifier for JACOB BLAZZARD, PA-C, a Physician Assistant provider located in Clarkston, WA. This NPI was enumerated on November 1, 2006.
JACOB BLAZZARD, PA-C practices at 1433 5TH ST, Clarkston, WA 99403.
Quick Facts
- NPI
- 1326125485
- Type
- Individual
- Enumerated
- Nov 1, 2006
- Last Updated
- Apr 1, 2024
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