NPI 1013055482

Grant Alexander Yelliott, PAC

Practitioner Physician Assistant Tacoma, WA

Practice location

Address: 1717 S J St, Tacoma, WA 98405-4933
Phone: (253) 426-6660
Fax: (253) 426-6250
Mailing address: 505 S 336th St Suite 600, Federal Way, WA 98003-6328

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

Other Physician Assistant providers in Washington →

Registry record

NPI: 1013055482
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Feb 2007
Record last updated: 2 Apr 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.