Individual provider · Type 1 NPI
Charles W. Anderegg, PAC
Surgical Physician Assistant · Shelton, WA
NPI number
1124056437
Active
Practice location
1701 N 13th St Ste A
Shelton, WA 98584-2077
Mailing address
PO Box 1668
Shelton, WA 98584-5001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant | 363AS0400X | MA052594 (PA) |
| Surgical Physician Assistant Primary | 363AS0400X | PA10003420 (WA) |
Surgical Physician Assistant: Definition to come...
About NPI 1124056437
Charles W. Anderegg, PAC's National Provider Identifier is 1124056437, issued on Jun 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Shelton, WA. The record was last updated on Nov 16, 2020.