Individual
MERDAD MERABAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1717 S J ST STE 200, TACOMA, WA 98405-4933
(253) 426-6341
(253) 864-5999
Mailing address
1717 S J ST STE 200, TACOMA, WA 98405-4933
(253) 426-6341
(253) 864-5999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NC10074310
WA
363AS0400X
Surgical Physician Assistant
PA 60449795
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2037331
—
WA
Enumeration date
04/10/2014
Last updated
12/07/2020
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