Provider Demographics
NPI:1508059486
Name:CAPATI, MARCIANO BAUL JR (MD)
Entity Type:Individual
Prefix:DR
First Name:MARCIANO
Middle Name:BAUL
Last Name:CAPATI
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:732 SUMMITVIEW AVE # 621
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98902-3032
Mailing Address - Country:US
Mailing Address - Phone:509-573-3448
Mailing Address - Fax:509-574-4481
Practice Address - Street 1:715 NORTH PARK DRIVE
Practice Address - Street 2:
Practice Address - City:SELAH
Practice Address - State:WA
Practice Address - Zip Code:98942-1308
Practice Address - Country:US
Practice Address - Phone:509-697-4827
Practice Address - Fax:509-697-9099
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2010-11-08
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Provider Licenses
StateLicense IDTaxonomies
WAMD60114666207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine