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1083435424
MARK ALLAN GREENWALT
TACOMA, WA
NPI
1083435424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WA PA61611340)
Enumeration Date
2024-10-18
Last Update Date
2024-11-20
Business Address
Mr. MARK ALLAN GREENWALT PA-C
9505 S STEELE ST
TACOMA, WA 98444-1858
Phone number: 253-597-6800
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Mailing Address
Mr. MARK ALLAN GREENWALT PA-C
9505 S STEELE ST
TACOMA, WA 98444-1858
Phone number: 253-597-6800
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