Provider Demographics
NPI:1215913850
Name:HAWKINS, MARC A (PA-C)
Entity type:Individual
Prefix:MR
First Name:MARC
Middle Name:A
Last Name:HAWKINS
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:310 N RIVERPOINT BLVD HEALTH SCIENCE BLDG #280-J
Mailing Address - Street 2:UNIVERSITY OF WASHINGTON MEDEX NW PA PROGRAM
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202
Mailing Address - Country:US
Mailing Address - Phone:507-368-6807
Mailing Address - Fax:
Practice Address - Street 1:310 N RIVERPOINT BLVD HEALTH SCIENCE BLDG #280-J
Practice Address - Street 2:UNIVERSITY OF WASHINGTON MEDEX NW PA PROGRAM
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202
Practice Address - Country:US
Practice Address - Phone:507-368-6807
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-15
Last Update Date:2014-05-23
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical