Organization Name: | GUEY C MARK M D INC |
NPI Number: | 1295982734 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GUEY C MARK (PRESIDENT OF GUEY C MARK M D INC) |
Mailing Address: | 1072 W. Monterey Avenue Stockton |
State: | CA US |
Postal Code: | 952043031 |
Phone Number: | 2094632180 |
Fax Number: | |
NPI Enumeration Date: | 08/27/2008 |
NPI Last Update Date: | 08/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | C191890 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |