Individual
ELLIOTT CROSS COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1802 YAKIMA AVE, TACOMA, WA 98405-4499
(253) 426-6272
(253) 426-4060
Mailing address
1802 YAKIMA AVE, TACOMA, WA 98405-4499
(253) 426-6272
(253) 426-4060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60421602
WA
363AM0700X
Medical Physician Assistant
PA60421602
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2032550
—
WA
Enumeration date
10/22/2013
Last updated
02/28/2025
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