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

MR. TANNER JAMES VICK, PA-C

Active

MR. TANNER JAMES VICK, PA-C is a Surgical Physician Assistant healthcare provider located in EVERETT, Washington. NPI 1487632667 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · EVERETT, WA

Registration Details

NPI Number
1487632667
Provider Type
Individual
Gender
Male
NPI Issued
Jan 6, 2006 (20.569475005596 yrs)
Last Updated
Apr 28, 2021
Licenses
PA10004747 (WA)
PA10004747 (WA)

Practice Information

Address
1330 ROCKEFELLER AVE
STE 520
EVERETT, WA, 982011684
Browse WA providers · Browse ZIP 98201
Phone
4252975200
Fax
4252975210
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in EVERETT, WA

Name Credential NPI
ERIC M TILLEY P.A. 1710979521
MR. JAMES POTOCSNAK PAC 1003881020
RENEE MICHELE LORBESKI PA-C 1316994452
SHERRI LYNN GIRAGOSIAN PA-C 1093757361
KAREN M TOOLEY PA-C 1013953066
MR. JOSEPH RICK HARADA PA-C 1447276183
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.