Organization
ENUMCLAW VISION CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A SEABURG OD (EMPLOYEE)
(360) 825-1614
Entity
Organization
Contact information
Practice address
2823 GRIFFIN AVE, ENUMCLAW, WA 98022-2322
(360) 825-1614
(360) 825-8034
Mailing address
2823 GRIFFIN AVE, ENUMCLAW, WA 98022-2322
(360) 825-1614
(360) 825-8034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1260
WA
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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