Individual
DR. MARK S PECKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD00019049
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17815
LABOR AND INDUSTRIES
WA
05
—
1789601
—
WA
01
—
G001048501
PTAN
WA
01
—
T00100
REGENCE
WA
Enumeration date
06/29/2006
Last updated
01/21/2015
Update your record
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