Individual
MR. MARK DAVID ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
9040 JACKSON AVENUE, TACOMA, WA 98431-1647
(253) 968-1484
Mailing address
9040 JACKSON AVENUE, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60701891
WA
Other
Enumeration date
10/12/2016
Last updated
02/19/2019
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