Individual provider · Type 1 NPI

Mark R. Fickert, PA

Surgical Physician Assistant · Spokane, WA

NPI number 1760595599 Active

Practice location

4815 N Assembly St
Spokane, WA 99205-6185

Call (509) 434-7000 Map

Other practice locations

  • 850 W Ironwood Dr, Suite 202, Coeur D Alene, ID 83814-4903 · (208) 664-2175

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA382 (ID)
Medical Physician Assistant 363AM0700XPA10004192 (WA)
Surgical Physician Assistant Primary 363AS0400XPA10004192 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1760595599

Mark R. Fickert, PA's National Provider Identifier is 1760595599, issued on Aug 16, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Spokane, WA. The record was last updated on Oct 13, 2022.