Jack Hostetler, | |
1200 W Fairview St, Colfax, WA 99111-9552 | |
(509) 397-3435 | |
Not Available |
Full Name | Jack Hostetler |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 1200 W Fairview St, Colfax, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659259638 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Jack Hostetler, Po Box 172, Oakesdale, WA 99158-0172 Ph: () - | Jack Hostetler, 1200 W Fairview St, Colfax, WA 99111-9552 Ph: (509) 397-3435 |
Morganne Hamann, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 | |
Ms. Raylene Lawrence, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1210 W Fairview St, Colfax, WA 99111 Phone: 509-397-4717 Fax: 509-397-3501 |