Individual
AMIT KUMAR BHARDWAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
315 MARTIN L KING JR WAY, TACOMA, WA 98405-4234
(253) 301-6975
Mailing address
315 MARTIN L KING JR WAY, TACOMA, WA 98405-4234
(253) 301-6975
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003233
OH
363A00000X
Physician Assistant
Primary
PA60676871
WA
363AM0700X
Medical Physician Assistant
PA60676871
WA
Other
Enumeration date
07/07/2011
Last updated
08/25/2016
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