Elpidio C Mariano M.D.

NPI 1063524528 - Surgery - 208600000X

NPI Details
NPI 1063524528
Gender Male
Enumeration Date 08/31/2006
Last Updated 09/14/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
106 LYNCH CREEK WAY
SUITE 9B
PETALUMA CA, 94954-2356, US
Phone (707) 763-1575
Fax (707) 763-9172
Business Location
106 LYNCH CREEK WAY
SUITE 9B
PETALUMA CA, 94954-2356, US
Phone (707) 763-1575
Fax (707) 763-9172
Toxanomy
Taxonomy Code 208600000X
License State California
License Number A39817
Remove 1063524528 NPI Number
 

According to our database, Dr. Elpidio C Mariano M.D. NPI is 1063524528, taxonomy code is 208600000X and license number is A39817, license state is located at California. Elpidio C Mariano M.D. physically located at 106 Lynch Creek Way, Petaluma CA, 94954-2356. NPI Number Elpidio C Mariano M.D. has the Individual type.

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1063524528 NPI number is provided on an as is basis without warranty of any kind. 1063524528 is maintained by the National Plan & Provider Enumeration System. The contents of Elpidio C Mariano M.D. are for informational purposes only.