Individual
MITCHELL T MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9119 MIL PARK AVE, JOINT BASE LEWIS MCCHORD, WA 98433
(253) 477-0800
Mailing address
BLDG 786, FORT RICHARDSON TMC, JBER, AK 99505
(907) 384-3744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2016
Last updated
06/08/2022
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