Provider Demographics
NPI:1609266121
Name:WEGELEBEN, ASHTON (PA-C)
Entity Type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:WEGELEBEN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3649
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99220-3649
Mailing Address - Country:US
Mailing Address - Phone:509-342-3758
Mailing Address - Fax:509-342-3761
Practice Address - Street 1:9425 N NEVADA ST
Practice Address - Street 2:SUITE 300
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-5014
Practice Address - Country:US
Practice Address - Phone:509-465-8885
Practice Address - Fax:509-789-9013
Is Sole Proprietor?:No
Enumeration Date:2015-02-04
Last Update Date:2017-10-25
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical