Individual
MR. PHILIP J MAPES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-3701
(509) 684-5817
Mailing address
1200 E COLUMBIA AVE, COLVILLE, WA 99114-3354
(509) 684-3701
(509) 684-5817
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126611
L & I
—
05
—
8157695
—
WA
01
—
8926427
L & I CRIME VICTIMS
—
Enumeration date
10/12/2005
Last updated
07/08/2007
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