MR. Thomas Russell Prieskorn, PA-C
NPI #1366421174 in Shelton, Washington
Provider Information
- NPI Number
- 1366421174
- Entity Type
- Individual
- Name
- MR. Thomas Russell Prieskorn, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Jan 10, 2006
- Last Updated
- Mar 3, 2015
Practice Location
- Address
- 901 MOUNTAIN VIEW DR
- City
- Shelton
- State
- Washington
- ZIP Code
- 98584-4401
- Phone
- (360) 426-1611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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