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Individual

DR. MARK A UNDERWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3131
Mailing address
15915 W SILVER LAKE RD, MEDICAL LAKE, WA 99022-9599
(530) 867-6234
(916) 456-4490

Taxonomy

Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A45353
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
MD61106174
WA

Other

Enumeration date
11/15/2005
Last updated
02/05/2021
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