Individual
MALCOLM AJ DUGLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
(253) 426-4142
Mailing address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
(253) 426-4142
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61397889
WA
363AS0400X
Surgical Physician Assistant
103305
NC
363AS0400X
Surgical Physician Assistant
Primary
PA61397889
WA
Other
Enumeration date
01/04/2007
Last updated
08/14/2024
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