Individual
ROBERT LEO TESTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
(253) 983-9390
(253) 983-0066
Mailing address
PO BOX 39324, LAKEWOOD, WA 98496-3324
(253) 983-9390
(253) 983-0066
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA60245584
WA
Other
Enumeration date
09/02/2006
Last updated
01/12/2015
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