Provider Demographics
NPI:1437137361
Name:MARLOW, DAVID CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:CHRISTOPHER
Last Name:MARLOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19020 33RD AVE W
Mailing Address - Street 2:SUITE 210
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4746
Mailing Address - Country:US
Mailing Address - Phone:425-563-1500
Mailing Address - Fax:425-563-1374
Practice Address - Street 1:19020 33RD AVE W
Practice Address - Street 2:SUITE 210
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4746
Practice Address - Country:US
Practice Address - Phone:425-563-1500
Practice Address - Fax:425-563-1374
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000437942085R0202X
IDM-125532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA186261OtherL & I PROVIDER NUMBER
WA204130OtherL & I PROVIDER NUMBER
WA0186263OtherL&I PROVIDER NUMBER
ID1437137361Medicaid
WA186262OtherL&I PROVIDER NUMBER
WA8397119Medicaid
WAG8804111Medicare PIN
WA0186263OtherL&I PROVIDER NUMBER
WAG8804109Medicare PIN
WAG8804107Medicare PIN
WAH90212Medicare UPIN
ID1437137361Medicaid
WA8397119Medicaid
WA8862858Medicare PIN
WA186262OtherL&I PROVIDER NUMBER
WA204130OtherL & I PROVIDER NUMBER
WAG8857919Medicare PIN
WAG8804105Medicare PIN