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Contact Information

MARK R MARIANI, MD
3124 S 19TH ST
TACOMA, WA98405-2433
 Phone: 253-459-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
 

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for MARK R MARIANI · (Male)

NPI # 1972581114
Status Active
Credentials MD
Entity Individual
Enumeration date 01/06/2006
Last updated 03/30/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A85025
  • WA License # MD00046384
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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