Individual provider · Type 1 NPI

Shane Robert Egresi, PHYSICIAN ASSISTANT

Medical Physician Assistant · Kirkland, WA

NPI number 1508384371 Active

Practice location

12040 NE 128th St
Kirkland, WA 98034-3013

Mailing address

2304 Meadow Village Dr
Columbus, OH 43235-4923

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1508384371

Shane Robert Egresi, PHYSICIAN ASSISTANT's National Provider Identifier is 1508384371, issued on Aug 31, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kirkland, WA. The record was last updated on Aug 31, 2017.