Individual
DR. MARK CONRAD VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3327 COLBY AVE, EVERETT, WA 98201-6403
(425) 258-6767
(425) 259-6260
Mailing address
3327 COLBY AVE, EVERETT, WA 98201-6403
(425) 258-6767
(425) 259-6260
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00017167
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1489608
—
WA
Enumeration date
11/30/2005
Last updated
11/02/2007
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