Fred Orlen Scruggs JR., PHYSICIAN ASSISTANT

NPI #1245201466 in Silverdale, Washington

Provider Information

NPI Number
1245201466
Entity Type
Individual
Name
Fred Orlen Scruggs JR., PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Jan 27, 2006
Last Updated
Apr 11, 2019

Practice Location

Address
9621 RIDGETOP BLVD NW
ZIP Code
98383-8502
Phone
(360) 782-3300

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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