Individual
MR. ANDREW J POPLAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3908 10TH ST SE, PUYALLUP, WA 98374-2188
(253) 848-5951
(253) 845-7073
Mailing address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 358-0285
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15223
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0198405
LABOR & INDUSTRIES
WA
01
—
3908PO
REGENCE RIDER
WA
05
—
8371650
—
WA
01
—
8906243
L&I CVC
WA
01
—
P00243340
MEDICARE RAILROAD
WA
Enumeration date
12/18/2006
Last updated
06/29/2022
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