Alan K Mirly, PA

NPI #1891780524 in Vancouver, Washington

Provider Information

NPI Number: 1891780524
Entity Type: Individual
Name: Alan K Mirly, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 19, 2005
Last Updated: Dec 9, 2019

Practice Location

Address: 2525 NE 139TH ST STE 220
City: Vancouver
State: Washington
ZIP Code: 98686-2719
Phone: (360) 882-2778

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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