Individual
JASON DOYLE RUNDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVENUE, TACOMA, WA 98431
(253) 968-1250
(253) 968-3190
Mailing address
MADIGAN ARMY MEDICAL CENTER, 9040 JACKSON AVENUE, TACOMA, WA 98431
(253) 968-1250
(253) 968-3190
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10003162
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8358210
—
WA
01
—
8941377
L&I
WA
Enumeration date
05/16/2006
Last updated
03/19/2019
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