LAURA COOLIDGE
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1811595499- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1608 ROAD 44, PASCO, WA, 993012667
- Phone
- (509) 543-9820
- Fax
- (509) 545-6275
Specialties & Taxonomies
Family Medicine
License: SC #3749
Physician Assistant
Primary License: WA #PA61114586