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1710041793
MARK D KIVIAT
SEATTLE, WA
NPI
1710041793
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WA MD00010647)
Enumeration Date
2006-12-21
Last Update Date
2009-02-18
Business Address
-- MARK D KIVIAT MD
500 17TH AVE STEA10C
SEATTLE, WA 98122-5711
Phone number: 206-860-6656
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Mailing Address
-- MARK D KIVIAT MD
PO BOX 84026
SEATTLE, WA 98124-8426
Phone number: 206-860-6656
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