Provider Demographics
NPI:1023359064
Name:DARRAH, ANDREW T (PA-C)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:T
Last Name:DARRAH
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:1 BOONE RD
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-1898
Mailing Address - Country:US
Mailing Address - Phone:360-475-4455
Mailing Address - Fax:866-502-1901
Practice Address - Street 1:1 BOONE RD
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-1898
Practice Address - Country:US
Practice Address - Phone:360-475-4455
Practice Address - Fax:866-502-1901
Is Sole Proprietor?:No
Enumeration Date:2013-03-14
Last Update Date:2013-03-14
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant