Individual
MR. EDMUND JOSEPH DECATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-SA
Contact information
Practice address
31426 NE 108TH ST, CARNATION, WA 98014-9731
(425) 788-7687
(425) 788-7687
Mailing address
PO BOX 353, DUVALL, WA 98019-0353
(425) 788-7687
(425) 788-7687
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10002121
WA
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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