Dr MARK D CORAM is a male medical professional, specializing in Physician Assistant. He graduated in 2009.
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
401 W POPLAR ST
WALLA WALLA
WA
993622846
Tel:
| Npi | 1407184021 |
| Pac Id | 5294924841 |
| Professional Enrollment Id | I20110112000821 |
| Last Name | CORAM |
| First Name | MARK |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
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| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WASHINGTON |
| Group Practice Pac Id | 2860552973 |
| Number Of Group Practice Members | 146 |
| Line 1 Street Address | 401 W POPLAR ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | Y |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 993622846 |
| Phone Number | |
| Hospital Affiliation Ccn 1 | 500002 |
| Hospital Affiliation Lbn 1 | PROVIDENCE ST MARY MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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