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NPI Code Detail

MEDICARE: MARCO A SALAZAR MD, PH.D

MEDICARE: MARCO A SALAZAR MD, PH.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208800000XUrology PhysicianFE60184522WA

General Provider Information

NPI Number : 1962511717
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCO A SALAZAR MD, PH.D
Provider Business Mailing Address
First Line : 21822 76TH AVE W
Second Line :
City : EDMONDS
State : WA
Zip : 98026-7900
Country : US
Telephone Number : 425-775-7166
Fax Number : 425-672-8844
Provider Business Practice Location Address
First Line : 21822 76TH AVE W
Second Line :
City : EDMONDS
State : WA
Zip : 98026-7900
Country : US
Telephone Number : 425-775-7166
Fax Number : 425-672-8844
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 04/09/2014

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Directions to “ MARCO A SALAZAR MD, PH.D” Practice Location

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