MARK DRUCKER D.P.M. A PROFESSIONAL CORPORATION NPI 1952607657

NPI Information

NPI: 1952607657
Provider Name: MARK DRUCKER, D.P.M., A PROFESSIONAL CORPORATION
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
750 LAS GALLINAS AVE
SUITE 115
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 472-5575
Get Directions

MARK DRUCKER, D.P.M., A PROFESSIONAL CORPORATION is a foot and ankle surgery podiatrist in San Rafael, CA. MARK DRUCKER, D.P.M., A PROFESSIONAL CORPORATION NPI is 1952607657. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

750 LAS GALLINAS AVE
SUITE 115
SAN RAFAEL, CA
ZIP 94903-438
Phone: (415) 472-5575
Fax: (415) 472-0502

The provider's authorized official is Judy M Millikin .
The authorized official title is Bookkeeper and has the following contact phone number (415) 472-5575.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 3/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000E15610	MEDICARE PIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »