Individual provider · Type 1 NPI

Sean Patrick Mackie, PA-C

Surgical Physician Assistant · Renton, WA

NPI number 1912152265 Active

Practice location

4011 Talbot Rd S, Suite 300
Renton, WA 98055-5773

Fax (425) 656-5047

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA 60056491 (WA)
Surgical Physician Assistant Primary 363AS0400XPA60056491 (WA)

Surgical Physician Assistant: Definition to come...

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About NPI 1912152265

Sean Patrick Mackie, PA-C's National Provider Identifier is 1912152265, issued on Nov 28, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Renton, WA. The record was last updated on Jun 29, 2016.