JAROM DANIEL HAYWARD PAC
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1538889902- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PAC
- Status
- Active
Contact & Location
- Address
- 1515 E COLUMBIA ST, OTHELLO, WA, 993441846
- Phone
- (509) 488-5256
- Fax
- (509) 488-9939
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: WA #PA61495713