Individual
DR. MARY FAIRCHOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
DEPT PEDIATRICS BDAA, MADIGAN ARMY MEDICAL CENTER, TACOMA, WA 98431-0001
(253) 968-1831
Mailing address
12816 135TH AVENUE CT E, PUYALLUP, WA 98374-2953
(253) 968-1831
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
MD00035489
WA
Other
Enumeration date
02/06/2006
Last updated
01/31/2012
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