Jacob I. Blazzard, PA-C
NPI #1326125485 in Clarkston, Washington
Provider Information
- NPI Number
- 1326125485
- Entity Type
- Individual
- Name
- Jacob I. Blazzard, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Apr 1, 2024
Practice Location
- Address
- 1433 5TH ST
- City
- Clarkston
- State
- Washington
- ZIP Code
- 99403-2714
- Phone
- (509) 758-5141
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