Individual provider · NPI-1

Mark D. Baldwin, DO

Internal Medicine · Mount Vernon, WA

NPI number1477656304
StatusActive
Last updated in NPPESJan 4, 2016

Details

NPI
1477656304
Entity type
Individual (NPI-1)
Name
Mark D. Baldwin
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Sep 6, 2006
Last updated
Jan 4, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineOP60600878WAYes
207RN0300X Internal Medicine, Nephrology34-00-5880-BOH
207RN0300X Internal Medicine, NephrologyOP60600878WA

Practice location

819 South 13th Street
Mount Vernon, WA 98273

Phone 360-814-6230 · Fax 360-814-6240

Mailing address

1400 E. Kincaid Street
Attn: Credentialing
Mount Vernon, WA 98274-4127

Phone 360-428-2500 · Fax 360-428-6485

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