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CARRIE PAGE MARDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195-0001
(206) 598-6200
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD60275068
WA
2085R0202X
Diagnostic Radiology Physician
MD60275068
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407055320
WA
Enumeration date
07/11/2007
Last updated
07/03/2012
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