MARK CORAM, PA-C
Physician Assistant
Active
Individual
NPI: 1407184021
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA60118218 (WA) |
Frequently Asked Questions
NPI 1407184021 is the National Provider Identifier for MARK CORAM, PA-C, a Physician Assistant provider located in Walla Walla, WA. This NPI was enumerated on November 19, 2009.
MARK CORAM, PA-C practices at 401 W POPLAR ST, PSMPG SLEEP MEDICINE, Walla Walla, WA 99362.
Quick Facts
- NPI
- 1407184021
- Type
- Individual
- Enumerated
- Nov 19, 2009
- Last Updated
- May 10, 2021
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