Mark W Redor is a Specialist in Placerville, California. Mark W Redor practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark W Redor is 1013963594. The last update date is 2009-05-27.
Mark W Redor's current location address is 1006 Marshall Way, Placerville, California. You can contact this provider via phone number 5306226430 and fax number 5306223957. The mailing address for Mark W Redor is 1006 Marshall Way, Placerville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W Redor |
|---|---|
| Address | 1006 Marshall Way, Placerville, California |
| Phone Number | 5306226430 |
| Fax Number | 5306223957 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1013963594 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2009-05-27 |
Provider Mailing Address Detail
| Address | 1006 Marshall Way |
|---|---|
| City | Placerville |
| State | California (CA) |
| Post Code | 956675706 |
| Phone Number | 5306226430 |
| Fax Number | 5306223957 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | G56411 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark W Redor?
The Mark W Redor has been issued the NPI (National Provider Identifier) 1013963594 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mark W Redor?
The Mark W Redor is physically situated at 1006 Marshall Way, in the city of Placerville, state of CA, with the postal code 956675706.
What is Mark W Redor's area of expertise and its corresponding taxonomy classification?
The Mark W Redor's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1013963594 to Mark W Redor?
The Centers for Medicare & Medicaid Services assigned the 1013963594 to Mark W Redor on 2006-05-26.
When was the Mark W Redor's information last updated?
The Mark W Redor's information was last updated on 2009-05-27.