Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GEORGE A PRUDDEN, PA-C
ActiveGEORGE A PRUDDEN, PA-C is a Physician Assistant healthcare provider located in LAKEWOOD, Washington. NPI 1356310064 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · LAKEWOOD, WA
Registration Details
- NPI Number
- 1356310064
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 15, 2006 (20.403827218389 yrs)
- Last Updated
- Oct 1, 2019
- License
-
PA10004097 (WA)
Practice Information
- Address
-
7308 BRIDGEPORT WAY WSUITE 201LAKEWOOD, WA, 984998000Browse WA providers · Browse ZIP 98499
- Phone
- 2535827257
- Fax
- 2535821617
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in LAKEWOOD, WA
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS WAYNE GAMMILL | PA-C | 1760459333 |
| JOSEPH D. FERENCE | PA-C | 1255387783 |
| MR. PHILLIP DARBY | PA-C | 1023037868 |
| ROBERT LEO TESTA | PA-C | 1356443923 |
| ALEX E ANGELES | PAC | 1912002031 |
| MR. KEVIN J BOLLAND | PA-C | 1962543033 |
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.