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Individual

MARK P MACFARLANE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
751 NE BLAKELY DR, STE 4020, ISSAQUAH, WA 98029-6201
(425) 313-7124
(425) 323-7072
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD00034860
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0189203
DEPARTMENT LABOR INDUSTRI
05
8211492
WA
01
P00179773
RAILROAD MEDICARE
Enumeration date
02/03/2006
Last updated
07/01/2015
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