Mark J. Provda in Walnut Creek - Emergency Medicine
Mark J. Provda - NPI 1194803254
Mark J. Provda is a Emergency Medicine in Walnut Creek, California. Mark J. Provda practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Mark J. Provda is 1194803254. The last update date is 2007-07-08.
Mark J. Provda's current location address is 1425 S Main St, Walnut Creek, California. You can contact this provider via phone number 9252954000. The mailing address for Mark J. Provda is 1425 S Main St, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark J. Provda |
|---|---|
| Address | 1425 S Main St, Walnut Creek, California |
| Phone Number | 9252954000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1194803254 |
|---|---|
| Provider Enumeration Date | 2006-11-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1425 S Main St |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945965318 |
| Phone Number | 9252954000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | C37075 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00C370750 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark J. Provda by the Centers for Medicare & Medicaid Services?
The Mark J. Provda has been issued the NPI (National Provider Identifier) 1194803254, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark J. Provda's facilities are geographically located?
The facilities of Mark J. Provda are physically situated at the following location: 1425 S Main St, Walnut Creek, CA, 945965318.
What is Mark J. Provda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark J. Provda's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.
When was the Mark J. Provda's 1194803254 issued?
The Mark J. Provda's 1194803254 was issued on 2006-11-02.
As of what date were the details pertaining to Mark J. Provda last refreshed?
The information related to the Mark J. Provda, including its address, specialty, and other relevant details, was last updated on 2007-07-08.