Mark E Boseley
Pediatric Otolaryngology
311 S L St
Tacoma
, Washington 98405-3720
Mark E Boseley
Pediatric Otolaryngology
311 S L St
Tacoma
, Washington 98405-3720
(253) 403-1507
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Mark E Boseley
- 311 S L St
- Tacoma, WA
- Zip : 98405-3720
- Phone : (253) 403-1507
Second Address
- Mark E Boseley
- 311 S L St
- Tacoma, WA
- Zip : 98405-3720
- Phone : (253) 403-1507
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | MD00047231 | WA |
National Provider Identifier
| NPI | 1750351797 |
|---|---|
| Provider Name | Mark E Boseley |
| First Address | Tacoma, WA 98405-3720 |
| Second Address | Tacoma, WA 98405-3720 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2006 |
| Last Update Date | 05/12/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 236634 | L&I (01) | WA |
| 8485914 | (05) | WA |
| 8947515 | CRIME VICTIMS (01) | WA |
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.