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Organization
MARK W. SHEAFOR, DPM, PS, INC
Active
Organization
MARK W. SHEAFOR, DPM, PS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WHITMAN SHEAFOR DPM (PRESIDENT)
(360) 647-0557
Entity
Organization
Contact information
Practice address
3120 SQUALICUM PKWY STE 2, BELLINGHAM, WA 98225-1934
(360) 647-0557
(360) 733-2892
Mailing address
3120 SQUALICUM PKWY STE 2, BELLINGHAM, WA 98225-1934
(360) 647-0557
(360) 733-2892
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60134920
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054194
DSHS
WA
01
—
1346561446AA
ESSENCE
WA
01
—
DQ7833
RAILROAD MEDICARE
WA
Enumeration date
10/05/2010
Last updated
10/08/2014
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