Mary Fairchok M.D.

NPI 1073585717 - Pediatrics - 2080P0208X

NPI Details
NPI 1073585717
Gender Female
Enumeration Date 02/06/2006
Last Updated 01/31/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
DEPT PEDIATRICS BDAA
MADIGAN ARMY MEDICAL CENTER
TACOMA WA, 98431-0001, US
Phone (253) 968-1831
Fax
Business Location
12816 135TH AVENUE CT E
PUYALLUP WA, 98374-2953, US
Phone (253) 968-1831
Fax
Toxanomy
Taxonomy Code 2080P0208X
License State Washington
License Number MD00035489
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According to our database, Dr. Mary Fairchok M.D. NPI is 1073585717, taxonomy code is 2080P0208X and license number is MD00035489, license state is located at Washington. Mary Fairchok M.D. physically located at Dept Pediatrics Bdaa, Tacoma WA, 98431-0001. NPI Number Mary Fairchok M.D. has the Individual type.

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1073585717 NPI number is provided on an as is basis without warranty of any kind. 1073585717 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Fairchok M.D. are for informational purposes only.