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Individual

DR. MARK LA SHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000
Mailing address
11511 NE 10TH ST, BELLEVUE, WA 98004-8578
(425) 502-3000

Taxonomy

Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
MD 60194720
WA
208000000X
Pediatrics Physician
MD070164L
PA

Other

Enumeration date
10/21/2005
Last updated
04/26/2021
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