Dr. Mary Fairchok
Pediatric Infectious Diseases
Dept Pediatrics Bdaa Madigan Army Medical Center
Tacoma
, Washington 98431-0001
Dr. Mary Fairchok
Pediatric Infectious Diseases
Dept Pediatrics Bdaa Madigan Army Medical Center
Tacoma
, Washington 98431-0001
(253) 968-1831
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About
Features
Specialties
- Pediatric Infectious Diseases
Languages spoken
- English
Location
First Address
- Dr. Mary Fairchok
- 12816 135th Avenue Ct E
- Puyallup, WA
- Zip : 98374-2953
- Phone : (253) 968-1831
Second Address
- Dr. Mary Fairchok
- Dept Pediatrics Bdaa Madigan Army Medical Center
- Tacoma, WA
- Zip : 98431-0001
- Phone : (253) 968-1831
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0208X | Pediatric Infectious Diseases | MD00035489 | WA |
National Provider Identifier
| NPI | 1073585717 |
|---|---|
| Provider Name | Dr. Mary Fairchok |
| First Address | Puyallup, WA 98374-2953 |
| Second Address | Tacoma, WA 98431-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/02/2006 |
| Last Update Date | 31/01/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.