Individual
DR. ROBERT S WARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 LILLY RD NE, STE 100, OLYMPIA, WA 98506-5195
(360) 413-8525
(360) 413-8876
Mailing address
500 LILLY RD NE, STE 100, OLYMPIA, WA 98506-5195
(360) 413-8525
(360) 413-8876
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD00023085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8118358
—
WA
Enumeration date
08/10/2005
Last updated
04/28/2021
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