Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN THOMAS BEARUP, PA
ActivePhysician Assistant · QUINCY, WA
Registration Details
- NPI Number
- 1003923269
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 24, 2006 (19.657414349037 yrs)
- Last Updated
- Jul 8, 2007
- License
-
PA10001768 (WA)
Practice Information
- Address
-
908 TENTH AVE SWQUINCY, WA, 98848Browse WA providers · Browse ZIP 98848
- Phone
- 5097873503
- Fax
- 5097871361
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.