Organization
MARK W. SHEAFOR, DPM, PS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK WHITMAN SHEAFOR DPM (PRESIDENT)
(360) 647-0557
Entity
Organization
Contact information
Practice address
3120 SQUALICUM PKWY STE 2, BELLINGHAM, WA 98225-1934
(360) 647-0557
(360) 733-2892
Mailing address
3120 SQUALICUM PKWY STE 2, BELLINGHAM, WA 98225-1934
(360) 647-0557
(360) 733-2892
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO60134920
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1054194
DSHS
WA
01
—
1346561446AA
ESSENCE
WA
01
—
DQ7833
RAILROAD MEDICARE
WA
Enumeration date
10/05/2010
Last updated
10/08/2014
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