Mark Alan Netherda in Santa Rosa - Family Medicine

Mark Alan Netherda - NPI 1225245657

Mark Alan Netherda is a Family Medicine in Santa Rosa, California. Mark Alan Netherda practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Alan Netherda is 1225245657. The last update date is 2011-02-08.

Mark Alan Netherda's current location address is 625 5th St, Santa Rosa, California. You can contact this provider via phone number 7075657400. The mailing address for Mark Alan Netherda is 625 5th St, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Alan Netherda
Address 625 5th St, Santa Rosa, California
Phone Number 7075657400
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1225245657
Provider Enumeration Date 2007-05-16
Last Updated Date 2011-02-08

Provider Mailing Address Detail

Address 625 5th St
City Santa Rosa
State California (CA)
Post Code 954044428
Phone Number 7075657400
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No G67595
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

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FAQs about Mark Alan Netherda

What is the unique 10-digit identification code issued to Mark Alan Netherda by the Centers for Medicare & Medicaid Services?

The Mark Alan Netherda has been assigned the NPI (National Provider Identifier) 1225245657 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Mark Alan Netherda is geographically located?

The Mark Alan Netherda is physically situated at the following location: 625 5Th St, Santa Rosa, CA, 954044428.

What is Mark Alan Netherda's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mark Alan Netherda is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1225245657 to Mark Alan Netherda?

The Mark Alan Netherda received its 1225245657 assignment from the Centers for Medicare & Medicaid Services on 2007-05-16.

As of what date were the details related to Mark Alan Netherda most recently updated or revised?

The information pertaining to Mark Alan Netherda, including its address, specialty, and other relevant details, was last updated or revised on 2011-02-08.

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