Provider Demographics
NPI:1629187687
Name:TOMSKI, MARK ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ANDREW
Last Name:TOMSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1101 MADISON STREET
Mailing Address - Street 2:SUITE 200 SPD PAIN MANAGEMENT
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1306
Mailing Address - Country:US
Mailing Address - Phone:206-386-2013
Mailing Address - Fax:206-386-2149
Practice Address - Street 1:1101 MADISON STREET
Practice Address - Street 2:SUITE 200 SPD PAIN MANAGEMENT
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1306
Practice Address - Country:US
Practice Address - Phone:206-386-2013
Practice Address - Fax:206-386-2149
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2010-01-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WA262562081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAE72276Medicare UPIN