Individual
MARK STOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
510 BOREN AVE N, SEATTLE, WA 98109-5501
(206) 320-5200
Mailing address
510 BOREN AVE N, SEATTLE, WA 98109-5501
(206) 320-5200
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
08/06/2012
Last updated
08/06/2012
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