Individual
MR. TRACY DAHN WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3400
(360) 782-3345
Mailing address
9621 RIDGETOP BLVD NW, SILVERDALE, WA 98383-8502
(360) 782-3400
(360) 782-3345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60127857
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012073
—
WA
Enumeration date
01/04/2007
Last updated
05/09/2023
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