Doctor Name: | DAVID C MABRIE |
NPI Number: | 1093758138 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A71717 |
Business Practice Address: | 2160 Appian Way Suite 202 Pinole, CA - 945642524 |
Business Phone Number: | 5107246662 |
Business Fax Number: | |
Mailing Address: | 2160 Appian Way, Suite 202 PINOLE |
State: | CA |
Postal Code: | 945642524 |
Phone Number: | 5107246662 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YS0123X |
License Number: | A71717 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Facial Plastic Surgery |
Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |