MARK D CORAM

WALLA WALLA, WA
NPI1407184021
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60118218)
Enumeration Date2009-11-19
Last Update Date2021-05-10
Business Address
MARK D CORAM PA-C
401 W POPLAR ST PSMPG SLEEP MEDICINE
WALLA WALLA, WA 99362-2846
Phone number: 509-522-5845
Mailing Address
MARK D CORAM PA-C
PO BOX 34439
SEATTLE, WA 98124-1439
Phone number:
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