Tad W. Westdale, PA-C
NPI #1639407109 in Longview, Washington
Provider Information
- NPI Number
- 1639407109
- Entity Type
- Individual
- Name
- Tad W. Westdale, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PA-C
- Enumeration Date
- Nov 22, 2009
- Last Updated
- Jul 30, 2012
Practice Location
- Address
- 1718 E KESSLER BLVD
- City
- Longview
- State
- Washington
- ZIP Code
- 98632-1842
- Phone
- (360) 747-5800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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