Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES W ANDEREGG, PAC
ActiveMR. CHARLES W ANDEREGG, PAC is a Surgical Physician Assistant healthcare provider located in SHELTON, Washington. NPI 1124056437 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · SHELTON, WA
Registration Details
- NPI Number
- 1124056437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2006 (19.940000041095 yrs)
- Last Updated
- Nov 16, 2020
- Licenses
-
MA052594 (PA)PA10003420 (WA)
Practice Information
- Address
-
1701 N 13TH ST STE ASHELTON, WA, 985842077Browse WA providers · Browse ZIP 98584
- Phone
- 3604262653
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
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.