Dr JEREMIAH C. BRACK is a male medical professional, specializing in Physician Assistant. He graduated in 2014.
PROLIANCE SURGEONS INC PS
3801 5TH ST SE
PUYALLUP
WA
983742106
Tel:
| Npi | 1366835068 |
| Pac Id | 9537489695 |
| Professional Enrollment Id | I20150513002488 |
| Last Name | BRACK |
| First Name | JEREMIAH |
| Middle Name | C. |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROLIANCE SURGEONS INC PS |
| Group Practice Pac Id | 8527972900 |
| Number Of Group Practice Members | 438 |
| Line 1 Street Address | 3801 5TH ST SE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | PUYALLUP |
| State | WA |
| Zip Code | 983742106 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 500079 |
| Hospital Affiliation Lbn 1 | MULTICARE GOOD SAMARITAN HOSPITAL |
| Hospital Affiliation Ccn 2 | 500129 |
| Hospital Affiliation Lbn 2 | TACOMA GENERAL ALLENMORE HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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