Individual
DYLAN MART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 228-3440
(425) 656-4214
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD178536
OR
207R00000X
Internal Medicine Physician
MD60877059
WA
208M00000X
Hospitalist Physician
Primary
MD60877059
WA
Other
Enumeration date
04/16/2014
Last updated
12/10/2019
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