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Individual
MR. DAVID L. ISLAND
Active
Individual
MR. DAVID L. ISLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004903
WA
363AM0700X
Medical Physician Assistant
PA10004903
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8441677
—
WA
01
—
9205IS
REGENCE ID#
WA
Enumeration date
05/20/2006
Last updated
06/19/2012
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