Individual
MR. BRIAN COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
914 S. SCHEUBER ROAD, CENTRALIA, WA 98531-9027
(360) 736-2803
(559) 459-3719
Mailing address
5000 HOPYARD ROAD, SUITE 100, PLEASANTON, CA 94588-3146
(925) 251-6926
(925) 924-0506
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60262298
WA
363AS0400X
Surgical Physician Assistant
PA19442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009431
—
WA
05
—
PENDING
—
CA
Enumeration date
03/14/2008
Last updated
04/26/2017
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