MARK O FOSDAL

SEATTLE, WA
NPI1427262245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: WA  PA10003666)
Enumeration Date2007-05-10
Last Update Date2007-07-09
Business Address
-- MARK O FOSDAL PA C
825 EASTLAKE AVE E
SEATTLE, WA 98109-4405
Phone number: 206-288-1000
Mailing Address
-- MARK O FOSDAL PA C
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-543-6420
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