Individual provider · Type 1 NPI

Susan M. Polovitch-Davis, PA

Medical Physician Assistant · Seattle, WA

NPI number 1386709392 Active

Practice location

2600 SW Holden St
Seattle, WA 98126-3505

Fax (206) 933-7005

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10004197 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1386709392

Susan M. Polovitch-Davis, PA's National Provider Identifier is 1386709392, issued on Dec 27, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Seattle, WA. The record was last updated on Dec 18, 2007.