Individual
BRUCE A WING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1620 COOPER POINT RD SW, OLYMPIA, WA 98502
(360) 486-6710
(360) 705-0614
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60705033
WA
363AM0700X
Medical Physician Assistant
PA 19509
CA
363AS0400X
Surgical Physician Assistant
AMD 412
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
433905099
—
ME
Enumeration date
11/12/2007
Last updated
05/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us