Individual
MARIE ANTOINETTE TSURGEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
225 176TH ST S, SPANAWAY, WA 98387-9201
(253) 459-7777
Mailing address
225 176TH ST S, SPANAWAY, WA 98387-9201
(253) 459-7777
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004112-1
NY
363A00000X
Physician Assistant
PA10004312
WA
363AM0700X
Medical Physician Assistant
Primary
PA10004312
WA
Other
Enumeration date
01/23/2007
Last updated
06/09/2015
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