Derek E Sucharda, PAC
NPI #1639282981 in Walla Walla, Washington
Provider Information
- NPI Number
- 1639282981
- Entity Type
- Individual
- Name
- Derek E Sucharda, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Aug 17, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 380 CHASE ST
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362
- Phone
- (509) 522-5820
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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