Individual provider · Type 1 NPI

Russell R. Amaru, PA-C

Medical Physician Assistant · Shelton, WA

NPI number 1942530647 Active

Practice location

2321 W Dayton Airport Rd
Shelton, WA 98584-6319

Call (360) 427-4596 Map

Fax (360) 427-4654

Mailing address

3357A Simmons Mill Ct. SW
Tumwater, WA 98512-7811

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA10003509 (WA)

Medical Physician Assistant: Definition to come...

9 other providers at this address

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About NPI 1942530647

Russell R. Amaru, PA-C's National Provider Identifier is 1942530647, issued on Jan 4, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shelton, WA. The record was last updated on Aug 2, 2010.