Individual provider · Type 1 NPI

Jean Michele C. Belista, PA-C

Surgical Physician Assistant · Puyallup, WA

NPI number 1669085726 Active

Practice location

3801 5th St SE Ste 110
Puyallup, WA 98374-2106

Call (253) 845-9585 Map

Fax (253) 848-1126

Other practice locations

  • 20920 Sr 410 E, Bonney Lake, WA 98391-6302 · (253) 845-9585

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA61470001 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1669085726

Jean Michele C. Belista, PA-C's National Provider Identifier is 1669085726, issued on Aug 28, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Puyallup, WA. The record was last updated on Apr 15, 2024.