Individual
MR. CHRISTOPHER AGATINO URSINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
9040 REID ST, MADIGAN ARMY MEDICAL CENTER ATTN MCHJ QCR, TACOMA, WA 98431-1100
(253) 968-2252
(253) 968-3278
Mailing address
1625 MOTTMAN RD SW, SUITE A, TUMWATER, WA 98512-7833
(360) 528-2830
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004807
WA
Other
Enumeration date
02/24/2006
Last updated
09/14/2007
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