Individual
ANDREW A MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6401 KIMBALL DR, GIG HARBOR, WA 98335-1228
(253) 858-9192
(253) 858-4348
Mailing address
6401 KIMBALL DR, GIG HARBOR, WA 98335-1228
(253) 858-9192
(253) 858-4348
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61184915
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104304
—
WA
Enumeration date
04/19/2018
Last updated
11/24/2021
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