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Individual

DR. MARK A STUDLEY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1320 E DIVISION, MOUNT VERNON, WA 98274-4196
(360) 424-6161
(360) 848-1167
Mailing address
1320 E DIVISION ST, MOUNT VERNON, WA 98274-4133
(360) 424-6161
(360) 848-1167

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00012419
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
47767
L AND I
WA
05
8113508
WA
Enumeration date
02/10/2006
Last updated
07/08/2007
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