Individual
MARK A SEABURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2823 GRIFFIN AVE, ENUMCLAW, WA 98022-2322
(360) 825-1614
(360) 825-8034
Mailing address
2823 GRIFFIN AVE, ENUMCLAW, WA 98022-2322
(360) 825-1614
(360) 825-8034
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00001260
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2033207
—
WA
Enumeration date
08/24/2006
Last updated
06/20/2011
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