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Individual

MARK IMRE RACZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 397-3128
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 397-1500
(360) 397-3128

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
MD60018719
WA
207ZC0500X
Cytopathology Physician
MD60018719
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD60018719
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8513913
WA
Enumeration date
03/18/2008
Last updated
07/31/2008
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