Individual
RYAN P DIRKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
413 29TH ST NE STE I, PUYALLUP, WA 98372-7154
(855) 255-1750
(855) 255-0905
Mailing address
413 29TH ST NE STE I, PUYALLUP, WA 98372-7154
(855) 255-1750
(855) 255-0905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA10005250
WA
363AM0700X
Medical Physician Assistant
Primary
PA10005250
WA
Other
Enumeration date
09/12/2007
Last updated
09/27/2024
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