Individual
MR. THOMAS AARON SHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
301 W POPLAR ST STE 210, WALLA WALLA, WA 99362-2800
(509) 897-8959
(509) 522-5788
Mailing address
301 W POPLAR ST STE 210, WALLA WALLA, WA 99362-2800
(509) 897-8959
(509) 522-5788
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60310476
WA
363AM0700X
Medical Physician Assistant
PA60310476
WA
363AS0400X
Surgical Physician Assistant
PA60310476
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013653
—
WA
Enumeration date
09/06/2012
Last updated
09/23/2024
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