Individual
ANDREW C SCHOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
700 E MANITOBA AVE, SUITE 101, ELLENSBURG, WA 98926-3885
(509) 925-6100
(509) 925-7604
Mailing address
700 E MANITOBA AVE, SUITE 101, ELLENSBURG, WA 98926-3885
(509) 925-6100
(509) 925-7604
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
PA10003463
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8402836
—
WA
Enumeration date
07/26/2006
Last updated
04/30/2013
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