Mark M Anderson O.D.

NPI 1447399852 - Optometrist - 152W00000X

NPI Details
NPI 1447399852
Gender Male
Enumeration Date 02/05/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
B-202 MINOR HALL
UNIVERITY OF CALIFORNIA
BERKELEY CA, 94720-0001, US
Phone (510) 643-2860
Fax (510) 643-3796
Business Location
410 KENTUCKY AVE
BERKELEY CA, 94707-1710, US
Phone (510) 526-7311
Fax (510) 643-3796
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 06155T
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According to our database, Dr. Mark M Anderson O.D. NPI is 1447399852, taxonomy code is 152W00000X and license number is 06155T, license state is located at California. Mark M Anderson O.D. physically located at B-202 Minor Hall, Berkeley CA, 94720-0001. NPI Number Mark M Anderson O.D. has the Individual type.

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1447399852 NPI number is provided on an as is basis without warranty of any kind. 1447399852 is maintained by the National Plan & Provider Enumeration System. The contents of Mark M Anderson O.D. are for informational purposes only.