Individual provider · Type 1 NPI

Spencer Laine Fodczuk, MPAS, PA-C

Physician Assistant · Puyallup, WA

NPI number 1831253145 Active

Practice location

3908 10th St SE
Puyallup, WA 98374-2188

Call (253) 848-5951 Map

Fax (253) 845-7073

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000XPA60344476 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1831253145

Spencer Laine Fodczuk, MPAS, PA-C's National Provider Identifier is 1831253145, issued on Dec 21, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Puyallup, WA. The record was last updated on Jan 25, 2016.