Individual
MR. PHILLIP DARBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9332 BRIDGEPORT WAY SW, LAKEWOOD, WA 98499-1569
(253) 459-6065
Mailing address
PO BOX 5299, M/S: 737-2-PHYS, TACOMA, WA 98415-0299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004396
WA
Other
Enumeration date
07/19/2006
Last updated
03/01/2021
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