MR. JOSEPH NO MIDDLE NAME MARZUCCO P.A.
NPI 1629158464
Physician Assistant - Medical in Vancouver, WA
Active since October 16, 2006
About Mr. Joseph No Middle Name Marzucco P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOSEPH NO MIDDLE NAME MARZUCCO P.A. (NPI 1629158464) is an individual medical provider in Vancouver, Washington, licensed in Washington (PA10000481) and active in the NPI registry since October 2006.
NPPES Registry Identity
NPI1629158464
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JOSEPH NO MIDDLE NAME MARZUCCOCredential: P.A.
Location Address406 SE 131ST AVE STE 101Vancouver, WA 98683-4031
Mailing Address4421 Ne St Johns RdVancouver, WA 98661-2573 · (360) 695-9922
Phone(360) 253-2822
Sole ProprietorNo
Enumeration DateOctober 16, 2006
Last NPPES UpdateAugust 13, 2014
✔ NPI 1629158464 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10000481
406 SE 131ST AVE STE 101, Vancouver, WA 98683
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physician Assistant (Medical)
406 SE 131ST AVE STE 101
VANCOUVER, WA 98683
VANCOUVER, WA 98683
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629158464, enumerated as an "individual" on October 16, 2006.
The provider is located at 406 SE 131ST AVE STE 101 VANCOUVER, WA 98683 and the phone number is (360) 253-2822.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
