Individual
MEGAN RENEE FREISMIDL NEWCOMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
Mailing address
1280 BOMBERO LN, WALLA WALLA, WA 99362-9050
(775) 770-4665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1149815
WA
Other
Enumeration date
02/15/2018
Last updated
08/09/2024
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