Nathan Jacob Wiens , PA-C
Physician Assistant โข Spokane, WA
510 E Holland Ave
Spokane, WA 992181206
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on March 23, 2009; this date does not establish years in practice.
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Published CMS data list 968 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 795 service units.
- 99213 โ Established patient outpatient office visit: 102 service units.
- G0444 โ Annual depression screening, 5 to 15 minutes: 38 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 4,015 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 795 prescription fills, including refills.
- Oxycodone Hcl โ 690 prescription fills, including refills.
- Morphine Sulfate Er (Morphine Sulfate) โ 400 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 36 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: 271. Middle half: 86 to 623.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 1,119 in 2020 to 968 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
510 E Holland Ave
Spokane, WA 992181206
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: T Daniel Dibble Md Pc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2013
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
176 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $92,653 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $70,052 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
4,078 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$339,197 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $721.49 across 40 records.
By nature of payment
- Food and Beverage: $721.49 across 40 records.
Reporting-company totals (3 largest of 7)
- Collegium Pharmaceutical, Inc.: $159.49 across 13 records.
- Salix Pharmaceuticals, a division of Bausch Health US, LLC: $147.19 across 13 records.
- Boston Scientific Corporation: $139.13 across 4 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
13 years (graduated 2013)
CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2009
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Nathan Wiens has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Nathan Wiens as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Spokane and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: 271. Middle half: 86 to 623.
More Medicare Part B services than 85% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: 218. Middle half: 77 to 474.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: $22,397. Middle half: $7,392 to $45,879.
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $16,952. Middle half: $6,879 to $34,613.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Spokane, WA (2024, 158 clinicians with data). Median for this group: $16,363. Middle half: $5,367 to $34,615.
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Washington (2024, 1,707 clinicians with data). Median for this group: $12,488. Middle half: $4,857 to $25,122.
Medicare Part D prescriptions
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: 280. Middle half: 115 to 1,102.
More Part D prescriptions than 95% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: 244. Middle half: 75 to 797.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Spokane, WA (2024, 187 clinicians with data). Median for this group: $6,032. Middle half: $1,197 to $122,373.
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Washington (2024, 2,001 clinicians with data). Median for this group: $4,328. Middle half: $751 to $64,764.
315 active clinicians are listed under Physician Assistant with a practice address in Spokane, WA (3,718 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Spokane
14.3% of these 315 clinicians have the CMS telehealth indicator.
68.9% of these 315 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 13% from 1,119 in 2020 to 968 in 2024.
- 2020: 1,119
- 2021: 1,187
- 2022: 1,082
- 2023: 1,061
- 2024: 968
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Medicare-allowed amount
Medicare-allowed amount varied from year to year: $92,845 in 2020 and $92,653 in 2024.
- 2020: $92,845
- 2021: $124,036
- 2022: $111,610
- 2023: $100,514
- 2024: $92,653
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Paid by Medicare
Paid by Medicare varied from year to year: $71,145 in 2020 and $70,052 in 2024.
- 2020: $71,145
- 2021: $93,366
- 2022: $82,977
- 2023: $75,827
- 2024: $70,052
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 166% from 1,508 in 2020 to 4,015 in 2024.
- 2020: 1,508
- 2021: 2,391
- 2022: 2,782
- 2023: 3,192
- 2024: 4,015
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30-day fills
30-day fills increased 169% from 1,519 in 2020 to 4,078 in 2024.
- 2020: 1,519
- 2021: 2,420
- 2022: 2,825
- 2023: 3,227
- 2024: 4,078
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Part D drug cost
Part D drug cost increased 90% from $178,352 in 2020 to $339,197 in 2024.
- 2020: $178,352
- 2021: $367,844
- 2022: $389,861
- 2023: $365,830
- 2024: $339,197
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $481.96 in 2021 to $721.49 in 2025.
- 2021: $481.96
- 2022: $495.98
- 2023: $661.08
- 2024: $579.66
- 2025: $721.49
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 40 records totaling $721.49.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Intracept RF Probe | General | $38.36 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
Intracept RF Probe | General | $35.71 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
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Senza | General | $34.66 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $34.07 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Pain Management | General | $33.57 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
Dysport | General | $33.05 |
| Boston Scientific Corporation |
Food and Beverage
In-kind items and services
|
General - Pain Management | General | $31.49 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
Dysport | General | $31.48 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
Dysport | General | $30.11 |
| Ipsen Biopharmaceuticals, Inc |
Food and Beverage
In-kind items and services
|
Dysport | General | $28.44 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
RELISTOR | General | $24.02 |
| Pfizer Inc. |
Food and Beverage
In-kind items and services
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NURTEC ODT | General | $23.46 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $23.09 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Belbuca | General | $22.06 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Belbuca | General | $21.04 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
RELISTOR | General | $20.14 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
|
XTAMPZA | General | $19.74 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Belbuca | General | $19.46 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
BOTOX | General | $18.66 |
| Globus Medical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Senza | General | $18.66 |
| Collegium Pharmaceutical, Inc. |
Food and Beverage
Cash or cash equivalent
|
Belbuca | General | $17.36 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
RELISTOR | General | $16.90 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
RELISTOR | General | $16.43 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
RELISTOR | General | $15.83 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC |
Food and Beverage
In-kind items and services
|
RELISTOR | General | $12.64 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
795 | 157 | $325.09 | $104.30 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
102 | 72 | $250.00 | $76.08 |
|
G0444
Annual depression screening, 5 to 15 minutes
|
38 | 38 | $45.00 | $16.13 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
17 | 15 | $150.00 | $76.92 |
|
96127
Assessment of emotional or behavioral problems
|
16 | 13 | $45.00 | $3.36 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 795 | 21,659 | $23,051.31 | 94 |
| Oxycodone Hcl | Oxycodone Hcl | 690 | 18,319 | $11,919.97 | 83 |
| Morphine Sulfate Er | Morphine Sulfate | 400 | 10,742 | $12,447.93 | 34 |
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 254 | 6,875 | $9,523.72 | 35 |
| Tizanidine Hcl | Tizanidine Hcl | 182 | 5,935 | $4,081.02 | 32 |
| Tramadol Hcl | Tramadol Hcl | 150 | 4,069 | $1,432.61 | 18 |
| Oxycontin | Oxycodone Hcl | 146 | 3,896 | $86,500.20 | 15 |
| Gabapentin | Gabapentin | 132 | 4,127 | $1,991.02 | 22 |
| Xtampza Er | Oxycodone Myristate | 115 | 3,037 | $84,194.13 | 14 |
| Pregabalin | Pregabalin | 103 | 3,178 | $2,352.56 | 17 |
| Morphine Sulfate | Morphine Sulfate | 91 | 2,424 | $2,800.76 | 12 |
| Fentanyl | Fentanyl | 87 | 2,569 | $8,052.00 | 12 |
| Hydromorphone Hcl | Hydromorphone Hcl | 84 | 2,240 | $1,581.92 | 15 |
| Methadone Hcl | Methadone Hcl | 82 | 2,252 | $3,333.43 | โ |
| Methocarbamol | Methocarbamol | 82 | 2,326 | $1,615.02 | 16 |
| Baclofen | Baclofen | 74 | 2,134 | $790.67 | โ |
| Buprenorphine Hcl | Buprenorphine Hcl | 73 | 2,028 | $3,007.26 | โ |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 68 | 1,988 | $954.57 | 17 |
| Meloxicam | Meloxicam | 66 | 1,979 | $206.90 | โ |
| Buprenorphine | Buprenorphine | 55 | 1,519 | $8,891.49 | โ |
| Naloxone Hcl | Naloxone Hcl | 50 | 356 | $3,055.61 | 49 |
| Duloxetine Hcl | Duloxetine Hcl | 28 | 1,042 | $426.39 | โ |
| Ondansetron Odt | Ondansetron | 22 | 413 | $352.42 | 14 |
| Belbuca | Buprenorphine Hcl | 21 | 543 | $16,610.88 | โ |
| Etodolac | Etodolac | 20 | 578 | $836.32 | โ |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-07-17NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20150427000450
WA
2264655679
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
T Daniel Dibble Md Pc
510 E Holland Ave, Spokane, WA 992181206
Phone: 5093633100304
T Daniel Dibble Md Pc
1123 N Evergreen Rd, Spokane Valley, WA 992161138
Phone: 5093633100304
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Registered Nurse Practitioner
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at PO BOX 808, VERADALE, WA 990370808 (Tel: 5093633100)
Registered at 510 E HOLLAND AVE, SPOKANE, WA 992181206 (Tel: 5093633100)
Physician Assistant (license number reported to NPPES: WA PA60525567)
NPI status registered as active in NPPES database
Registered at 15200 COMMUNITY RD, GULFPORT, MS 395033085 (Tel: 2285757000)
Registered at 15200 COMMUNITY RD, GULFPORT, MS 395033085 (Tel: 2285757000)
Recorded as NATHAN WIENS, PA-C
Physician Assistant
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Spokane
- Caron Cook, PA
- Thomas Dea, PA-C
- Mason Vegas, PA-C
- Kristina Goodman, PA-C
- Daniel Boyd, PA-C
- Angeliki Arvanitis
Mailing Address
Po Box 808
Veradale, WA 990370808
Phone: 5093633100