Mark R Gildenhar, MD
Ophthalmology in Puyallup, WA. Individual provider (NPI-1).
NPI number1790796860
StatusActive
Last updated in NPPESMay 18, 2012
Details
- NPI
- 1790796860
- Entity type
- Individual (NPI-1)
- Name
- Mark R Gildenhar
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- May 18, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | MD00017654 | WA | Yes |
Practice location
1703 S MeridianSuite 101
Puyallup, WA 98371
Phone 253-848-3000 · Fax 253-840-6514
Mailing address
1703 S MeridianSuite 101
Puyallup, WA 98371
Phone 253-848-3000 · Fax 253-840-6514
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All 18 Ophthalmology Physician providers in Puyallup · All 4,232 providers in Puyallup
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