Individual
MARK FARLEY
Active
Individual
MARK FARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00026408
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22556
GROUP HEALTH
—
01
—
44539
L & I
WA
01
—
8130510
CHPW
WA
05
—
8130510
—
WA
01
—
911019392
COMMERCIAL
—
01
—
FA6987
REGENCE
WA
Enumeration date
10/05/2006
Last updated
03/17/2021
Update your record
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