Individual provider · Type 1 NPI

Malcolm Aj Dugliss, PA-C

Surgical Physician Assistant · Tacoma, WA

NPI number 1336296193 Active

Practice location

1802 Yakima Ave Ste 102
Tacoma, WA 98405-5303

Fax (253) 426-4142

Other practice locations

  • 525 Lilly Rd NE Ste 200, Olympia, WA 98506-5101 · (360) 493-4510

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA61397889 (WA)
Surgical Physician Assistant 363AS0400X103305 (NC)
Surgical Physician Assistant Primary 363AS0400XPA61397889 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1336296193

Malcolm Aj Dugliss, PA-C's National Provider Identifier is 1336296193, issued on Jan 4, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Tacoma, WA. The record was last updated on Aug 14, 2024.