Mark O Fosdal, PA C is a medical physician assistant in Seattle, WA. Mark O Fosdal, PA C NPI is 1427262245. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
825 EASTLAKE AVE E
SEATTLE, WA
ZIP 98109-405
Phone: (206) 288-1000
The enumeration date for this NPI number is 5/10/2007 and was last updated on 7/9/2007.