Individual
DAVID MICHAEL MOURNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2320 FREEWAY DR, MOUNT VERNON, WA 98273-5445
(360) 814-6800
(360) 814-6953
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 814-6451
(360) 445-8592
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00043382
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
MD00043382
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8918MO
REGENCE BLUESHIELD
—
01
—
8939669
CRIME VICTIMS COMP
WA
01
—
P00161526
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
03/07/2023
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