Eye Care Specialists Ps

NPI 1376556514 - Ophthalmology - 207W00000X

NPI Details
NPI 1376556514
Enumeration Date 08/15/2006
Last Updated 09/20/2011
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MARK T MARK
Position PRESIDENT
Phone (509) 758-8811
Fax (509) 751-1188
Practice Location
500 PORT DR
CLARKSTON WA, 99403-1835, US
Phone (509) 758-8811
Fax (509) 751-1188
Business Location
500 PORT DR
CLARKSTON WA, 99403-1835, US
Phone (509) 758-8811
Fax (509) 751-1188
Toxanomy
Taxonomy Code 207W00000X
License State
License Number MD00014109
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According to our database, Eye Care Specialists Ps NPI is 1376556514, taxonomy code is 207W00000X and license number is MD00014109, license state is located at . Eye Care Specialists Ps physically located at 500 Port Dr, Clarkston WA, 99403-1835. NPI Number 1033115704 has the healthcare provider type.

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1376556514 NPI number is provided on an as is basis without warranty of any kind. 1376556514 is maintained by the National Plan & Provider Enumeration System. The contents of Eye Care Specialists Ps are for informational purposes only.