Sturdevant, Mark L

Sturdevant, Mark L is an individual health care provider with primary practice located at 1959 Ne Pacific St , Seattle WA 98195-6574. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Sturdevant, Mark L can be contacted via phone (206) 520-5000.

Contact Information

Primary practice address
1959 Ne Pacific St Seattle WA 98195-6574
Phone: (206) 520-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X MD61025436 Washington
Allopathic & Osteopathic Physicians / Surgery 208600000X MD61025436 Washington

Profile Details

NPI number 1992894075
LBN Legal business name Sturdevant, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Nov 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992894075 NPPES
Washington MEDICAID 1992894075

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