Individual
DR. MARK A. SKIRGAUDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11811 NE 128TH STREET, KIRKLAND, WA 98034-7200
(425) 821-3472
(425) 820-4115
Mailing address
PO BOX 94624, SEATTLE, WA 98124-6924
(800) 634-4064
(952) 513-6880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
041299
CT
2085R0202X
Diagnostic Radiology Physician
Primary
MD60082335
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001412999
—
CT
01
—
010041299CT01
ANTHEM BC/BS
CT
01
—
A2516306
OXFORD
CT
Enumeration date
12/20/2005
Last updated
12/08/2011
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