Individual
JON DEAN CLARIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
320 W WILLOW ST, WALLA WALLA, WA 99362-2922
(509) 525-3720
(509) 522-1593
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4498
(509) 525-3720
(509) 522-1593
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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