Mark S Peckler in Olympia - Urology

Mark S Peckler - NPI 1770511438

Mark S Peckler is a Urology in Olympia, Washington. Mark S Peckler practices all healthcare services and medical treatments related to Urology. The NPI Number for Mark S Peckler is 1770511438. The last update date is 2015-01-21.

Mark S Peckler's current location address is 3525 Ensign Rd Ne, Olympia, Washington. You can contact this provider via phone number 3604564666 and fax number 3604591566. The mailing address for Mark S Peckler is 3525 Ensign Rd Ne, Olympia, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark S Peckler
Address 3525 Ensign Rd Ne, Olympia, Washington
Phone Number 3604564666
Fax Number 3604591566
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1770511438
Provider Enumeration Date 2006-06-29
Last Updated Date 2015-01-21

Provider Mailing Address Detail

Address 3525 Ensign Rd Ne
City Olympia
State Washington (WA)
Post Code 985065065
Phone Number 3604564666
Fax Number 3604591566

Provider's Primary Taxonomy Detail

Speciality Urology
Taxonomy 208800000X
Licence No MD00019049
Definition:
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
17815 WA LABOR AND INDUSTRIES
1789601 WA --
T00100 WA REGENCE
G001048501 WA PTAN

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FAQs about Mark S Peckler

What is the unique identifier code issued to Mark S Peckler by the Centers for Medicare & Medicaid Services (CMS)?

The Mark S Peckler has been assigned the NPI (National Provider Identifier) 1770511438. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Mark S Peckler is located?

The Mark S Peckler is situated at the following address: 3525 Ensign Rd Ne, Olympia, WA, 985065065.

What is Mark S Peckler's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Mark S Peckler is Urology, and the taxonomy code that categorizes this field of expertise is 208800000X.

When was the Mark S Peckler's 1770511438 issued?

The Mark S Peckler's 1770511438 was issued on 2006-06-29.

When was the information related to Mark S Peckler most recently updated or refreshed?

The details pertaining to the Mark S Peckler, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-01-21.

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