Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MANSURU MUSTAPHA, PHYSICIAN ASSISTANT
ActiveMR. MANSURU MUSTAPHA, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in JBLM, Washington. NPI 1013159193 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · JBLM, WA
Registration Details
- NPI Number
- 1013159193
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2009 (17.322786122095 yrs)
- Last Updated
- May 30, 2013
Practice Information
- Address
-
9119 MIL PARK AVEWINDER CLINIC -RAIDER CLINICJBLM, WA, 984331100Browse WA providers · Browse ZIP 98433
- Phone
- 2534770800
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in JBLM, WA
| Name | Credential | NPI |
|---|---|---|
| SANDRA CHRISTINE MILTON | PA-C | 1013289370 |
| MR. KYLE BLANCHARD | PA-C | 1205523164 |
| MR. AARON RICHARD GRAY | PA-C | 1982440343 |
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.