MARK SUPER

SACRAMENTO, CA
NPI1659357325
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: CA  G52385)
Enumeration Date2005-12-15
Last Update Date2007-07-08
Business Address
Dr. MARK SUPER M.D.
4400 V ST
SACRAMENTO, CA 95817-1445
Phone number: 916-734-0694
Mailing Address
Dr. MARK SUPER M.D.
4400 V ST
SACRAMENTO, CA 95817-1445
Phone number:
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