Individual provider · Type 1 NPI
Spencer Patrick Fayles, PA-S
Medical Physician Assistant · Puyallup, WA
NPI number
1679459978
Active
Practice location
4505 S Meridian Ste A
Puyallup, WA 98373-5002
Fax (253) 864-2972
Mailing address
608 39th Ave SW Apt J302
Puyallup, WA 98373-3660
Other practice locations
- 5700 100th St SW Ste 500, Lakewood, WA 98499-2763 · (253) 459-6005
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PENDING (WA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
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About NPI 1679459978
Spencer Patrick Fayles, PA-S's National Provider Identifier is 1679459978, issued on Aug 12, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Puyallup, WA. The record was last updated on Aug 12, 2025.