Individual provider · Type 1 NPI

Theresa A. Jovanovich, PAC

Surgical Physician Assistant · Federal Way, WA

NPI number 1356490486 Active

Practice location

33501 1st Way S
Federal Way, WA 98003-6208

Fax (253) 874-1634

Mailing address

1100 9th Ave, Ms M4-PA
Seattle, WA 98101-2756

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10004066 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1356490486

Theresa A. Jovanovich, PAC's National Provider Identifier is 1356490486, issued on Jan 9, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Federal Way, WA. The record was last updated on Dec 31, 2012.