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STACEY HAVEMAN, PHYSICIAN ASSISTANT

PHYSICIAN ASSISTANT

NPI: 1023309796IndividualAccepts Medicare

Specialties, Licenses & Credentials

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

PA60389054(WA)

CMS Specialties

Education

OTHER

Class of 2010

Contact & Hours

Address
55 W TIETAN ST
WALLA WALLA, WA 99362

Quick Facts

NPI
1023309796
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
16

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