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Individual

MARK ELIOT WHIPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
UNIVERSITY OF WASHINGTON MEDICAL CTR, 1959 NE PACIFIC ST, SEATTLE, WA 98195-6161
(206) 598-4022
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD00040547
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0232176
L&I
WA
05
1740365576
WA
01
34060
INTERNAL ID-MOTOR VEHICLE ID
Enumeration date
10/27/2006
Last updated
08/27/2012
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