NPI 1033306535

John Mark Gaudino, PAC

Practitioner Physician Assistant Federal Way, WA

Practice location

Address: 1300 S 320th St, Federal Way, WA 98003-5359
Phone: (253) 839-2727
Mailing address: 420 S 50th St, Renton, WA 98055-8332

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA10003343 (WA)

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Registry record

NPI: 1033306535
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Sep 2007
Record last updated: 4 Nov 2007

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.