Mark Mansour M.D.

NPI 1073597241 - Internal Medicine - 207R00000X

NPI Details
NPI 1073597241
Gender Male
Enumeration Date 12/01/2005
Last Updated 10/12/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
CAMERON PARK CA, 95682-8276, US
Phone (530) 672-7040
Business Location
PO BOX 45680
SAN FRANCISCO CA, 94145-0680, US
Phone (530) 672-7040
Fax (530) 754-6047
Taxonomy Code 207R00000X
License State California
License Number A86841
Remove 1073597241 NPI Number

According to our database, Dr. Mark Mansour M.D. NPI is 1073597241, taxonomy code is 207R00000X and license number is A86841, license state is located at California. Mark Mansour M.D. physically located at 3501 Palmer Dr, Cameron Park CA, 95682-8276. NPI Number Mark Mansour M.D. has the Individual type.

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1073597241 NPI number is provided on an as is basis without warranty of any kind. 1073597241 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Mansour M.D. are for informational purposes only.