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1891806014
MARK BURRELL BAZALGETTE
NOVATO, CA
NPI
1891806014
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: CA A46290)
Enumeration Date
2006-08-31
Last Update Date
2020-01-22
Business Address
MR. MARK BURRELL BAZALGETTE MD
165 ROWLAND WAY STE 200
NOVATO, CA 94945-5055
Phone number: 415-827-0344
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Mailing Address
MR. MARK BURRELL BAZALGETTE MD
5 BON AIR RD SUITE 101
LARKSPUR, CA 94939-1143
Phone number: 415-924-2515
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