Provider Demographics
NPI:1003478033
Name:MCGRATH, MARK STEVEN (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:STEVEN
Last Name:MCGRATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1310 10TH ST STE 104
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7026
Mailing Address - Country:US
Mailing Address - Phone:360-594-0592
Mailing Address - Fax:360-526-2165
Practice Address - Street 1:1310 10TH ST STE 104
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7026
Practice Address - Country:US
Practice Address - Phone:360-594-0592
Practice Address - Fax:360-526-2165
Is Sole Proprietor?:No
Enumeration Date:2019-06-29
Last Update Date:2024-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD61366048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine