Individual
MR. MARK ASHRAF BOULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1806 W LINCOLN AVE, YAKIMA, WA 98902-2473
(509) 452-4520
(509) 452-5224
Mailing address
501 S 5TH AVE, YAKIMA, WA 98902-3550
(509) 494-6700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301507494
MI
390200000X
Student in an Organized Health Care Education/Training Program
ML61068178
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
04/24/2019
Last updated
06/22/2022
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