Individual
WESLEY D SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
(253) 983-9390
Mailing address
11306 BRIDGEPORT WAY SW STE D, LAKEWOOD, WA 98499-3037
(253) 983-9390
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA 60420918
WA
363AS0400X
Surgical Physician Assistant
Primary
PA60420918
WA
Other
Enumeration date
02/25/2014
Last updated
03/25/2026
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