Individual provider · Type 1 NPI

Gail D. Petteruti, PAC

Surgical Physician Assistant · Seattle, WA

NPI number 1295768356 Active

Practice location

2409 N 45th St
Seattle, WA 98103-6907

Fax (206) 633-6107

Mailing address

805 Madison St, Suite 901
Seattle, WA 98104-1172

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10004209 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1295768356

Gail D. Petteruti, PAC's National Provider Identifier is 1295768356, issued on Jul 9, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Seattle, WA. The record was last updated on Oct 10, 2011.