Mark E Dome in Baldwin Park - Physician Assistant

Mark E Dome - NPI 1265509004

Mark E Dome is a Physician Assistant in Baldwin Park, California. Mark E Dome practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark E Dome is 1265509004. The last update date is 2008-09-23.

Mark E Dome's current location address is 1011 Baldwin Park Blvd, Baldwin Park, California. You can contact this provider via phone number 6268511011. The mailing address for Mark E Dome is 1011 Baldwin Park Blvd, Baldwin Park, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark E Dome
Address 1011 Baldwin Park Blvd, Baldwin Park, California
Phone Number 6268511011
Fax Number
Sole Proprietor N
Credentials PA

NPI Number Detail

NPI Number 1265509004
Provider Enumeration Date 2006-11-29
Last Updated Date 2008-09-23

Provider Mailing Address Detail

Address 1011 Baldwin Park Blvd
City Baldwin Park
State California (CA)
Post Code 917065806
Phone Number 6268511011
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA13439
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Mark E Dome

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

The Mark E Dome has been assigned the NPI (National Provider Identifier) 1265509004 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 location address where Mark E Dome's facilities are situated?

The facilities of Mark E Dome are physically located at the following address: 1011 Baldwin Park Blvd, Baldwin Park, CA, 917065806.

What is Mark E Dome's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mark E Dome's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

When was the Mark E Dome's 1265509004 issued?

The Mark E Dome's 1265509004 was issued on 2006-11-29.

When was the information pertaining to Mark E Dome most recently updated or revised?

The details related to Mark E Dome, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-23.

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