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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLIE L PHU, PA-C

Active

CHARLIE L PHU, PA-C is a Surgical Physician Assistant healthcare provider located in ISSAQUAH, Washington. NPI 1073021200 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · ISSAQUAH, WA

Registration Details

NPI Number
1073021200
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2018 (8.557566732287 yrs)
Last Updated
Oct 16, 2018
Licenses
TA60888612 (WA)
PA60882779 (WA)

Practice Information

Address
751 NE BLAKELY DR STE 4020
ISSAQUAH, WA, 980296201
Browse WA providers · Browse ZIP 98029
Phone
4253134000
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in ISSAQUAH, WA

Name Credential NPI
STEPHANIE A. GRANVALL P.A.-C 1861477960
MRS. MELISSA HACKBARTH PAYSON PA-C 1306877477
MR. TODD P KREPS PA-C 1679663488
MS. KATHLEEN ANN COZZA PA-C 1750558771
MR. NATHAN DOUGLAS WILLIAMS PA-C 1982935334
MR. MINH H. NGUYEN PA-C 1164723292
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.