Individual
MARK V WARNICKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
3223 1ST AVE S, SUITE C, SEATTLE, WA 98134-1850
(206) 624-3651
(206) 624-2391
Mailing address
3223 1ST AVE S, SUITE C, SEATTLE, WA 98134-1850
(206) 624-3651
(206) 624-2391
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10005043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0218455
LIWA
WA
01
—
3492WA
BSWA
WA
05
—
8471393
—
WA
Enumeration date
11/01/2006
Last updated
08/08/2016
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