Individual
MR. JERRY JOHN PAPSON
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) 858-4348
Mailing address
1802 YAKIMA AVE STE 102, TACOMA, WA 98405-5303
(253) 272-7777
(253) 858-4348
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004882
WA
363AS0400X
Surgical Physician Assistant
PA10004882
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1009401
—
WA
05
—
8436040
—
WA
Enumeration date
07/18/2006
Last updated
12/08/2020
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