Individual provider · Type 1 NPI

Wesley D. Sumrall, PA-C

Surgical Physician Assistant · Lakewood, WA

NPI number 1770908907 Active

Practice location

11306 Bridgeport Way SW Ste D
Lakewood, WA 98499-3037

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA60420918 (WA)
Medical Physician Assistant 363AM0700XPA 60420918 (WA)

Surgical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1770908907

Wesley D. Sumrall, PA-C's National Provider Identifier is 1770908907, issued on Feb 25, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Lakewood, WA. The record was last updated on Mar 25, 2026.