Individual
MS. ANN MARGARET PUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
518 E CLAY AVE, CHEWELAH, WA 99109-8947
(509) 935-8424
(509) 935-8402
Mailing address
518 E CLAY AVE, PO BOX 198, CHEWELAH, WA 99109-8947
(509) 935-8424
(509) 935-8402
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004381
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194431
LABOR & INDUSTRIES ID #
WA
05
—
8416125
—
WA
Enumeration date
02/15/2007
Last updated
07/09/2007
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