Individual provider · Type 1 NPI

Pete A. Jacques, PA-C

Medical Physician Assistant · Tacoma, WA

NPI number 1104890656 Active

Practice location

2202 S Cedar St, Ste. #310
Tacoma, WA 98405-2318

Call (253) 272-5127 Map

Fax (253) 404-0506

Mailing address

PO Box 1241
Tacoma, WA 98401-1241

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10001731 (WA)

Medical Physician Assistant: Definition to come...

30 other providers at this address

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About NPI 1104890656

Pete A. Jacques, PA-C's National Provider Identifier is 1104890656, issued on Feb 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Tacoma, WA. The record was last updated on Jun 15, 2009.