MARK TOM

EVERETT, WA
NPI1144712639
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  MD61144305)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
207Q00000X Family Medicine
(Licence: WA  MD.MD.61144305)
Enumeration Date2018-05-31
Last Update Date2023-04-27
Business Address
Dr. MARK TOM
3927 RUCKER AVE
EVERETT, WA 98201-4833
Phone number: 425-339-5422
Mailing Address
Dr. MARK TOM
PO BOX 5127
EVERETT, WA 98206-5127
Phone number: 425-304-8431