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Individual

PASCAL LANGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-3278
(253) 968-2252
(253) 968-3278
Mailing address
MADIGAN ARMY MEDICAL CTR, 9040 REID STREET, ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-3278
(253) 968-2252
(253) 968-3278

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1123026

Other

Enumeration date
11/21/2014
Last updated
11/22/2014
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