Individual
DR. MARK STEVEN RANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
615 W STEVENS AVE, SULTAN, WA 98294-9458
(360) 793-0201
(360) 793-2429
Mailing address
615 W STEVENS AVE, SULTAN, WA 98294-9458
(360) 793-0201
(360) 793-2429
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP00001073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8134447
—
WA
Enumeration date
09/22/2005
Last updated
01/03/2011
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