Individual
MARK W. LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD00039930
Contact information
Practice address
2811 TIETON DR, YAKIMA, WA 98902-3761
(509) 575-8000
(509) 575-8745
Mailing address
PO BOX 9787, YAKIMA, WA 98909-0787
(509) 574-3350
(509) 225-3168
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00024012
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8289233
—
WA
Enumeration date
10/23/2006
Last updated
03/14/2013
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