Mark, James B.D.

Mark, James B.D. is an individual health care provider with primary practice located at 875 Blake Wilbur Dr Clinic A, Palo Alto CA 94304-2205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mark, James B.D. can be contacted via phone (650) 726-7191.

Contact Information

Primary practice address
875 Blake Wilbur Dr Clinic A Palo Alto CA 94304-2205
Phone: (650) 726-7191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X C20027 California

Profile Details

NPI number 1215079504
LBN Legal business name Mark, James B.D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215079504 NPPES
California MEDICAID 00C200270

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