Individual
LARRY A. DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 15TH AVE E, SEATTLE, WA 98112-5260
(206) 326-3000
Mailing address
PO BOX 34584, SEATTLE, WA 98124-1584
(509) 241-7349
(509) 241-7628
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10004491
WA
363AS0400X
Surgical Physician Assistant
PA10004491
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011442
—
WA
Enumeration date
01/29/2007
Last updated
09/18/2023
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