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Individual

MR. DAVID LEE MOHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.

Contact information

Practice address
BLDG 3030, APO, WA 96297
(253) 968-0432
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0432

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1062638
NCCPA CERTIFICATE NUMBER
Enumeration date
02/27/2006
Last updated
04/15/2025
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