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Individual

MARCUS E DUBROW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
888 SWIFT BLVD, RICHLAND, WA 99352-3514
(509) 942-2159
(509) 942-2757
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD00046822
WA
207P00000X
Emergency Medicine Physician
Primary
MD20306
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0224911
LIWA
WA
05
286937
OR
01
3911DU
BSWA
WA
05
8431926
WA
Enumeration date
01/27/2006
Last updated
08/16/2023
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