Mark D Coram, PA-C
NPI #1407184021 in Walla Walla, Washington
Provider Information
- NPI Number
- 1407184021
- Entity Type
- Individual
- Name
- Mark D Coram, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Nov 19, 2009
- Last Updated
- May 10, 2021
Practice Location
- Address
- 401 W POPLAR ST
- Address 2
- PSMPG SLEEP MEDICINE
- City
- Walla Walla
- State
- Washington
- ZIP Code
- 99362-2846
- Phone
- (509) 522-5845
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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