Whalio Doctors

NPI 1770511438

Mark S Peckler, MD

Practitioner Urology Physician Olympia, WA

Practice location

Address
3525 Ensign Rd. Suite a, Olympia, WA 98505-0001
Phone
(360) 456-4666
Fax
(360) 459-1566
Mailing address
3525 Ensign Rd NE Suite a, Olympia, WA 98506-5065

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence MD00019049 (WA)

Registry record

NPI
1770511438
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jun 2006
Record last updated
21 Jan 2015

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.