| Edmonds Endocrinology | |
|
6100 219th St Sw Ste 480 Mountlake Terrace WA 98043-2222 | |
| (425) 774-5104 | |
| (425) 778-2620 |
| Full Name | Edmonds Endocrinology |
|---|---|
| Speciality | Internal Medicine |
| Location | 6100 219th St Sw Ste 480, Mountlake Terrace, Washington |
| Authorized Official Name and Position | Mark Alan Silver (OWNER) |
| Authorized Official Contact | 4257745104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edmonds Endocrinology 6100 219th St Sw Ste 480 Mountlake Terrace WA 98043-2222 Ph: (425) 774-5104 | Edmonds Endocrinology 6100 219th St Sw Ste 480 Mountlake Terrace WA 98043-2222 Ph: (425) 774-5104 |
| NPI Number | 1497922108 |
|---|---|
| Provider Enumeration Date | 05/12/2008 |
| Last Update Date | 08/18/2020 |
| Medicare PECOS PAC ID | 7719059310 |
|---|---|
| Medicare Enrollment ID | O20080626000115 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497922108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | MD00021572 (Washington) | Primary |
| Provider Name | Mark A Silver |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1790869352 PECOS PAC ID: 2567461460 Enrollment ID: I20061204000053 |
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