Mark R Homicz is a Otolaryngology in Santa Rosa, California. Mark R Homicz practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Mark R Homicz is 1336198449. The last update date is 2012-02-07.
Mark R Homicz's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075756049 and fax number 7075233024. The mailing address for Mark R Homicz is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark R Homicz |
|---|---|
| Address | 3536 Mendocino Ave, Santa Rosa, California |
| Phone Number | 7075756049 |
| Fax Number | 7075233024 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1336198449 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2012-02-07 |
Provider Mailing Address Detail
| Address | 3536 Mendocino Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954033634 |
| Phone Number | 7075756049 |
| Fax Number | 7075233024 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | A70413 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A704130 | CA | BLUE SHIELD OF CALIFORNIA | |
| P00933198 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mark R Homicz by the Centers for Medicare & Medicaid Services?
The Mark R Homicz has been assigned the NPI (National Provider Identifier) 1336198449 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 R Homicz is geographically located?
The Mark R Homicz is physically situated at the following location: 3536 Mendocino Ave, Santa Rosa, CA, 954033634.
What is Mark R Homicz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark R Homicz is Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Y00000X.
On what date did the Mark R Homicz receive its 1336198449 assignment from the Centers for Medicare & Medicaid Services?
The Mark R Homicz was assigned its 1336198449 by the Centers for Medicare & Medicaid Services on 2006-05-08.
As of what date were the details pertaining to Mark R Homicz last refreshed?
The information related to the Mark R Homicz, including its address, specialty, and other relevant details, was last updated on 2012-02-07.
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