Individual
FRED ORLEN SCRUGGS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3300
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60627709
WA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/27/2006
Last updated
04/11/2019
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