Search › California › 207RC0000X
Mark Gardner, MD
NPI 1811921174 · on the registry since 2006
Practice
- Address
- 475 N Forbes St
Lakeport, CA 95453 - Phone
- (707) 263-6346
- Fax
- (707) 263-5327
- Organisation at this address
- Adventist Health Physicians Network
Northern California Medical Assoc Inc
Adventist Health California Medical Group, Inc.
Preferred Dermatology Physician Assistant CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207RC0000X
207RC0000X
- Also registered as
- 207RC0000X
- Licence states on file
- FL, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-12-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California