Sydney Fountain, PA-C
NPI #1356050744 in Centralia, Washington
Provider Information
- NPI Number
- 1356050744
- Entity Type
- Individual
- Name
- Sydney Fountain, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 15, 2022
- Last Updated
- Apr 3, 2024
Practice Location
- Address
- 1000 S SCHEUBER RD
- City
- Centralia
- State
- Washington
- ZIP Code
- 98531-8877
- Phone
- (360) 330-8950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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