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Individual

FRANCIS AMADO DIZON MERCADO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6401 KIMBALL DR, GIG HARBOR, WA 98335-1228
(253) 858-9192
Mailing address
6401 KIMBALL DR, GIG HARBOR, WA 98335-1228
(253) 858-9192

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00049123
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0236730
L&I
WA
05
8513632
WA
01
8948949
CRIME VICTIMS
WA
Enumeration date
09/06/2007
Last updated
05/10/2010
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