Provider Demographics
NPI:1710540497
Name:CAREY, MARK STAFFORD (MD, FRCS)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:STAFFORD
Last Name:CAREY
Suffix:
Gender:M
Credentials:MD, FRCS
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Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2775 LAUREL STREET, DHCC, 6TH FLOOR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:BRITISH COLUMBIA
Mailing Address - Zip Code:V5Z 1M9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2775 LAUREL STREET, DHCC, 6TH FLOOR
Practice Address - Street 2:VANCOUVER GENERAL HOSPITAL
Practice Address - City:VANCOUVER
Practice Address - State:BRITISH COLUMBIA
Practice Address - Zip Code:V5Z 1M9
Practice Address - Country:CA
Practice Address - Phone:604-875-4268
Practice Address - Fax:604-875-4869
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-17
Last Update Date:2019-04-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DC29279207VX0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology