Individual
MARCIA M WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15 SW EVERETT MALL WAY, EVERETT, WA 98204-2715
(425) 348-6727
(877) 860-2291
Mailing address
200 OCEANGATE, SUITE 100, LONG BEACH, CA 90802-4317
(562) 499-6191
(562) 499-6171
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00031183
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008489- EFF 1/19/16
—
WA
Enumeration date
05/19/2006
Last updated
02/08/2016
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