Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SPENCER LAINE FODCZUK, MPAS, PA-C
ActiveMR. SPENCER LAINE FODCZUK, MPAS, PA-C is a Physician Assistant healthcare provider located in PUYALLUP, Washington. NPI 1831253145 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · PUYALLUP, WA
Registration Details
- NPI Number
- 1831253145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 21, 2006 (19.604567041586 yrs)
- Last Updated
- Jan 25, 2016
- License
-
PA60344476 (WA)
Practice Information
- Address
-
3908 10TH ST SEPUYALLUP, WA, 983742188Browse WA providers · Browse ZIP 98374
- Phone
- 2538485951
- Fax
- 2538457073
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in PUYALLUP, WA
| Name | Credential | NPI |
|---|---|---|
| EDNORAH M ARVELO | PA-C | 1558365296 |
| NATHAN AARON DE WITT | PA-C | 1790786705 |
| CYNTHIA K DESMOND | ARNP | 1245220003 |
| MR. DONALD EDWARD PRATER | PA-C | 1750366670 |
| MARGARET M HENDERSON | PA-C | 1396722245 |
| HOWARD L HULL | PA-C | 1265410138 |
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.