Individual
ALPHONZO FLYING CLOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Mailing address
1321 COLBY AVE, EVERETT, WA 98201-1665
(425) 261-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003226
WA
Other
Enumeration date
11/06/2006
Last updated
05/18/2021
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