Individual
MR. MARK A AYTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
403 E MEEKER ST, KENT, WA 98030-5904
(253) 852-2866
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004075
WA
363AM0700X
Medical Physician Assistant
025211PA10004075
WA
Other
Enumeration date
10/25/2006
Last updated
12/13/2024
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