Individual
SUZANNE M. MINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
450 NW GILMAN BLVD, SUITE 301A, ISSAQUAH, WA 98027-2483
(425) 654-1275
(425) 654-0539
Mailing address
14239 W BELL RD, STE 101, SURPRISE, AZ 85374-2470
(425) 654-1275
(425) 654-0539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005212
WA
Other
Enumeration date
08/17/2007
Last updated
08/16/2017
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