NPI 1164685632

Mark S Fan, MD

Practitioner Obstetrics & Gynecology Physician Bellevue, WA

Practice location

Address: 1515 116th Ave NE STE 205, Bellevue, WA 98004-3811
Phone: (310) 866-3707
Fax: (425) 999-4858
Mailing address: PO Box 741, Mercer Island, WA 98040-0741

Registered specialties (3)

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence NOT YET (NY)

Other Obstetrics & Gynecology providers in Washington →

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence MD60122545 (WA)

Obstetrics & Gynecology Physician

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence A112478 (CA)

Registry record

NPI: 1164685632
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Jul 2008
Record last updated: 3 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.