Bruce A Wing is a Physician Assistant in Olympia, Washington. Bruce A Wing practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Bruce A Wing is 1093995698. The last update date is 2018-05-21.
Bruce A Wing's current location address is 1620 Cooper Point Rd Sw, Olympia, Washington. You can contact this provider via phone number 3604866710 and fax number 3607050614. The mailing address for Bruce A Wing is 1620 Cooper Point Rd Sw, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce A Wing |
|---|---|
| Address | 1620 Cooper Point Rd Sw, Olympia, Washington |
| Phone Number | 3604866710 |
| Fax Number | 3607050614 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1093995698 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2018-05-21 |
Provider Mailing Address Detail
| Address | 1620 Cooper Point Rd Sw |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 98502 |
| Phone Number | 3604866710 |
| Fax Number | 3607050614 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA60705033 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 433905099 | ME | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Bruce A Wing?
The Bruce A Wing has been issued the NPI (National Provider Identifier) 1093995698 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Bruce A Wing located?
The Bruce A Wing is located at 1620 Cooper Point Rd Sw, Olympia, WA 98502.
What is Bruce A Wing's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce A Wing's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did the Bruce A Wing receive its 1093995698 assignment from the Centers for Medicare & Medicaid Services?
The Bruce A Wing was assigned its 1093995698 by the Centers for Medicare & Medicaid Services on 2007-11-12.
As of what date were the Bruce A Wing's details last updated?
The information pertaining to the Bruce A Wing, including its address, specialty, and other details, was most recently updated on 2018-05-21.