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Search › California › 111N00000X

Mark Street, DC

NPI 1861487043 · on the registry since 2005

Practice

Address
1381 University St
Healdsburg, CA 95448
Phone
(707) 431-8234
Fax
(707) 431-1427
Organisation at this address
Imgrx Healsdburg Inc
Alliance Medical Center
Alliance Medical Center
Alliance Medical Center
Alliance Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
48

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-10-27

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