Individual
DR. MARK J. PFLEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Mailing address
19020 33RD AVE W, SUITE 210, LYNNWOOD, WA 98036-4746
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00035053
WA
2085N0700X
Neuroradiology Physician
MD00035053
WA
2085R0202X
Diagnostic Radiology Physician
Primary
MD00035053
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1014879
—
WA
01
—
114696
L&I
WA
01
—
300072434
RAILROAD MEDICARE
—
01
—
5804512
AETNA
—
05
—
8208316
—
WA
01
—
8920292
CRIME VICTIMS
WA
01
—
PF8241
REGENCE
WA
Enumeration date
02/17/2006
Last updated
06/29/2015
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