Mark Todd Roback DO

  • NPI 1801969829
According to our database, the NPI number for Mark Todd Roback DO is 1801969829 and activated since 17 years ago. Mark Todd Roback DO is an individual provider who specializes in Family Medicine, and the primary practice location is 3304 Renner Dr, Fortuna, CA 95540. You can also contact Mark Todd Roback DO via telephone number is (707) 725-4477. Provider NPI information was last updated on 08/25/2014.

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Overview of Mark Todd Roback DO

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 11/16/2006
  • Last updated: 08/25/2014

Primary Scrop of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: R1153
  • License State: KY

Provider Mailing Address

  • Address: 670 9th Street
    Suite 203
    Arcata, CA 95521
  • Phone: 707-826-8633
  • Fax: 707-826-8638

Provider Practice Location

  • Address: 3304 Renner Dr
    Fortuna, CA 95540
  • Phone: 707-725-4477
  • Fax: 707-725-9209

Scope of Practice

  • Taxonomy Code: 207Q00000X
  • Specialty: Family Medicine
  • License Number: R1153
  • License State: KY
  • Switch: No

Legacy Identifiers

  • Provider Identifier: R1153
  • Identifier Type: Other
  • Identifier State: KY
  • Issuer: TEMP LICENSE

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Mark Todd Roback DO?
  • A: The npi number for Mark Todd Roback DO is 1801969829.
  • Q: What are Mark Todd Roback DO's specialties?
  • A: Mark Todd Roback DO's specialties are Family Medicine and different specialities.
  • Q: What is the medical license for Mark Todd Roback DO?
  • A: The medical license number for Mark Todd Roback DO is R1153 and issued in KY in USA.
  • Q: Where is Mark Todd Roback DO practice location?
  • A: Mark Todd Roback DO is practicing at 3304 Renner Dr, Fortuna, CA 95540.
  • Q: How to contact Mark Todd Roback DO?
  • A: You can contact Mark Todd Roback DO via 707-725-4477.