STACEE E ANDERSON

PROVIDENCE HEALTH AND SERVICES WASHINGTON

Dr STACEE E ANDERSON is a female medical professional, specializing in Physician Assistant. She graduated in 2001.

Contact

PROVIDENCE HEALTH AND SERVICES WASHINGTON

1200 E COLUMBIA AVE
COLVILLE
WA
991143354

Tel: 5096843701

STACEE E ANDERSON Information

Npi 1467438762
Pac Id 1456459684
Professional Enrollment Id I20141104001227
Last Name ANDERSON
First Name STACEE
Middle Name E
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2001
Primary Specialty PHYSICIAN ASSISTANT
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PROVIDENCE HEALTH AND SERVICES WASHINGTON
Group Practice Pac Id 0345139929
Number Of Group Practice Members 544
Line 1 Street Address 1200 E COLUMBIA AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City COLVILLE
State WA
Zip Code 991143354
Phone Number 5096843701
Hospital Affiliation Ccn 1 500077
Hospital Affiliation Lbn 1 PROVIDENCE HOLY FAMILY HOSPITAL
Hospital Affiliation Ccn 2 500054
Hospital Affiliation Lbn 2 PROVIDENCE SACRED HEART MEDICAL CENTER
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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