Mark B Pardoe is a Plastic Surgery in Eureka, California. Mark B Pardoe practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Mark B Pardoe is 1407930209. The last update date is 2021-11-09.
Mark B Pardoe's current location address is 2752 Harrison Ave, Eureka, California. You can contact this provider via phone number 7074453075 and fax number 7074453076. The mailing address for Mark B Pardoe is 2752 Harrison Ave, Eureka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark B Pardoe |
|---|---|
| Address | 2752 Harrison Ave, Eureka, California |
| Phone Number | 7074453075 |
| Fax Number | 7074453076 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1407930209 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2021-11-09 |
Provider Mailing Address Detail
| Address | 2752 Harrison Ave |
|---|---|
| City | Eureka |
| State | California (CA) |
| Post Code | 955014738 |
| Phone Number | 7074453075 |
| Fax Number | 7074453076 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | A78580 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A785800 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mark B Pardoe?
The Mark B Pardoe has been issued the NPI (National Provider Identifier) 1407930209 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mark B Pardoe's facilities are situated?
The facilities of Mark B Pardoe are physically located at the following address: 2752 Harrison Ave, Eureka, CA, 955014738.
What is Mark B Pardoe's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark B Pardoe is Plastic Surgery, and the taxonomy code that classifies this field of practice is 208200000X.
On what date did Mark B Pardoe receive its 1407930209 assignment from the Centers for Medicare & Medicaid Services?
The Mark B Pardoe was assigned its 1407930209 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mark B Pardoe most recently updated or revised?
The details related to Mark B Pardoe, including its address, specialty, and other relevant information, were last updated or revised on 2021-11-09.
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