person
Dr. Mark Dedomenico
General Practice Physician in Bellevue, Washington
NPI 1760737654

Mark Dedomenico is a General Practice Physician based in Bellevue, WA. Mark Dedomenico practices in Bellevue, WA. The NPI Number for Mark Dedomenico is 1760737654 and holds a License No. MD00011381 (Washington).

The current practice location address for Mark Dedomenico is 4455 148Th Ave Ne, Bellevue, WA and can be reached out via phone at 425-867-5175. You can also correspond with Mark Dedomenico through the mailing address at 4455 148TH AVE NE, BELLEVUE, WA - 98007-3120 (mailing address contact number: ).

Location: 4455 148Th Ave Ne, Bellevue, WA, 98007-3120
person
Provider Profile Details
NPI Number
1760737654
Provider Name
Mark Dedomenico
Credential
Provider Entity Type
Individual
Gender
Male
Address
4455 148Th Ave Ne, Bellevue, WA, 98007-3120
Phone Number
425-867-5175
Fax Number
Provider Enumeration Date
07/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4455 148Th Ave Ne
City
State
Zip
98007-3120
Phone Number
425-867-5175
Fax Number
person
Provider Business Mailing Address Details
Address
4455 148Th Ave Ne
City
State
Zip
98007-3120
Phone Number
425-867-5175
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
MD00011381 (Washington)
Definition
Definition to come...
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