Individual
MR. GEORGE J LITZ III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1330 ROCKEFELLER AVE, EVERETT, WA 98201-1684
(425) 297-5200
Mailing address
PO BOX 3360, PORTLAND, OR 97208-3360
(866) 366-2983
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA60186373
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60186373
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154638401
—
WA
Enumeration date
09/08/2010
Last updated
02/02/2015
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