Individual provider · Type 1 NPI

Marilyn V. Stucker, PA-C

Medical Physician Assistant · Port Angeles, WA

NPI number 1386651420 Active

Practice location

240 W Front St Ste A
Port Angeles, WA 98362-2609

Fax (360) 452-8087

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA60019499 (WA)
Medical Physician Assistant 363AM0700X0110004849 (VA)

Medical Physician Assistant: Definition to come...

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About NPI 1386651420

Marilyn V. Stucker, PA-C's National Provider Identifier is 1386651420, issued on Aug 2, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Port Angeles, WA. The record was last updated on Feb 3, 2016.