Jack Eisaman, PA-C
NPI #1356794432 in Stanwood, Washington
Provider Information
- NPI Number
- 1356794432
- Entity Type
- Individual
- Name
- Jack Eisaman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jul 13, 2016
- Last Updated
- Mar 30, 2021
Practice Location
- Address
- 9631 269TH ST NW
- City
- Stanwood
- State
- Washington
- ZIP Code
- 98292-8071
- Phone
- (360) 629-1600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
| Physician Assistant - Medical — Medical |
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