Fantahun Mulugeta Tedla, P.A-C

NPI #1033548144 in Everett, Washington

Provider Information

NPI Number: 1033548144
Entity Type: Individual
Name: Fantahun Mulugeta Tedla, P.A-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A-C
Enumeration Date: Nov 8, 2013
Last Updated: Nov 15, 2019

Practice Location

Address: 3927 RUCKER AVE
City: Everett
State: Washington
ZIP Code: 98201
Phone: (425) 339-5422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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