Individual provider · Type 1 NPI
Grace P. Landel, PA-C
Medical Physician Assistant · Seattle, WA
NPI number
1710908264
Active
Practice location
4245 Roosevelt Way NE, Box 354770
Seattle, WA 98105-6008
Fax (206) 598-5720
Mailing address
PO Box 24366, M/s 359107
Seattle, WA 98124-0366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA10001588 (WA) |
Medical Physician Assistant: Definition to come...
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About NPI 1710908264
Grace P. Landel, PA-C's National Provider Identifier is 1710908264, issued on Jul 21, 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 Jul 9, 2007.