Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACOB I. BLAZZARD, PA-C
ActiveJACOB I. BLAZZARD, PA-C is a Physician Assistant healthcare provider located in CLARKSTON, Washington. NPI 1326125485 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · CLARKSTON, WA
Registration Details
- NPI Number
- 1326125485
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 1, 2006 (19.796312515076 yrs)
- Last Updated
- Apr 1, 2024
- Licenses
-
PA-1221 (ID)361 (WY)PA60099484 (WA)PA60099484 (WA)
Practice Information
- Address
-
1433 5TH STCLARKSTON, WA, 994032714Browse WA providers · Browse ZIP 99403
- Phone
- 5097585141
- Fax
- 5097585299
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in CLARKSTON, WA
| Name | Credential | NPI |
|---|---|---|
| VICTORIA OZERAN | PA | 1548308240 |
| MR. KYLE MARLIN HOFFMANN | PA-C | 1609039825 |
| CAROLYN JEAN SHOEMAKER | PA-C | 1477856649 |
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.