Shane Robert Egresi, PHYSICIAN ASSISTANT

NPI #1508384371 in Kirkland, Washington

Provider Information

NPI Number
1508384371
Entity Type
Individual
Name
Shane Robert Egresi, PHYSICIAN ASSISTANT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PHYSICIAN ASSISTANT
Enumeration Date
Aug 31, 2017
Last Updated
Aug 31, 2017

Practice Location

Address
12040 NE 128TH ST
ZIP Code
98034-3013
Phone
(330) 429-2289

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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