Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175F00000X | Naturopath | 513 | WA |
NPI | 1124023007 |
---|---|
Provider Name | Dr. Mark Harrison Nolting |
First Address | Edmonds, WA 98020-4687 |
Second Address | Edmonds, WA 98026-7941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2005 |
Last Update Date | 08/07/2007 |