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Individual

ALEX S TAGAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-S, MPH

Contact information

Practice address
406 S 30TH AVE STE 101, YAKIMA, WA 98902-3713
(509) 248-7715
Mailing address
513 COLUMBINE AVE, BROOMFIELD, CO 80020-6019
(303) 521-8299

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.PA.70048000
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/14/2024
Last updated
10/14/2025
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