Dr. Mark Robert Jabbusch, MD
Family Medicine in Bellevue, WA. Individual provider (NPI-1).
NPI number1801008552
StatusActive
Last updated in NPPESAug 17, 2011
Details
- NPI
- 1801008552
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Robert Jabbusch
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 4, 2007
- Last updated
- Aug 17, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD00015223 | WA | Yes |
| 207Q00000X | Family Medicine | 6721 | AK | |
| 207Q00000X | Family Medicine | 55963-020 | WI |
Practice location
4505 144th Ave SeBellevue, WA 98006-2324
Phone 425-747-1059
Mailing address
4505 144th Ave SeBellevue, WA 98006-2324
Phone 425-747-1059
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