Most Relevant Information
Provider Data
| NPI Number: | 1003503020 |
| Provider Name: | MARK RANIER DALISAY |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 535134 |
Most Important Dates
| Enumeration Date: | 04/19/2023 |
| Last Updated: | 04/19/2023 |
Provider Practice Location
7520 S I ST
TACOMA
WA
984084323
Practice Location Phone/Fax
| Phone: | 7023051889 |
| Fax: |
Provider Mailing Location
7520 S I ST
TACOMA
WA
984084323
Provider Mailing Phone/Fax
| Phone: | 7023051889 |
| Fax: |