Individual provider · Type 1 NPI

Jon Dean Claridge, PA-C

Medical Physician Assistant · Walla Walla, WA

NPI number 1801447396 Active

Practice location

320 W Willow St
Walla Walla, WA 99362-2922

Fax (509) 522-1593

Mailing address

55 W Tietan St
Walla Walla, WA 99362-4498

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1801447396

Jon Dean Claridge, PA-C's National Provider Identifier is 1801447396, issued on Sep 25, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Walla Walla, WA. The record was last updated on Sep 25, 2019.