IndividualActive
Mary Fairchok, M.D.
NPI 1073585717 · Pediatric Infectious Diseases Physician · Tacoma, WA
Provider details
- NPI number
- 1073585717
- Entity type
- Individual
- Primary specialty
- Pediatric Infectious Diseases PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD00035489 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
Dept Pediatrics Bdaa
Madigan Army Medical Center
Tacoma, WA 98431-0001
Phone: (253) 968-1831
Approximate (ZIP-level) locationGet directions
Mailing address
12816 135th Avenue Ct E
Puyallup, WA 98374-2953
Registry dates
- Enumerated
- 2006-02-06
- Last updated
- 2012-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.