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Individual

MARYKAY PASNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1211 24TH ST, ANACORTES, WA 98221-2557
(360) 299-1300
(360) 299-1312
Mailing address
505 S 336TH ST, SUITE 600, FEDERAL WAY, WA 98003-6328
(253) 838-6180
(253) 838-6418

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD00018020
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0209142
LIWA
WA
01
3075PA
BSWA
WA
05
8130148
WA
Enumeration date
05/27/2006
Last updated
03/05/2008
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