Individual provider · Type 1 NPI

Dennis L. Loudenback, PAC

Surgical Physician Assistant · Edmonds, WA

NPI number 1932135274 Active

Practice location

7315 212th St SW, Suite 201
Edmonds, WA 98026-7610

Fax (425) 775-9526

Mailing address

7315 212th St SW Ste 201
Edmonds, WA 98026-7610

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA10003233 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1932135274

Dennis L. Loudenback, PAC's National Provider Identifier is 1932135274, issued on Jun 25, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Edmonds, WA. The record was last updated on Mar 21, 2022.