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Mark J Popovich, MD
Diagnostic Radiology Physician in Santa Rosa, California
NPI 1245320704

Mark J Popovich is a Diagnostic Radiology Physician based in Los Altos, CA and is specialized in Diagnostic Radiology. Mark J Popovich practices in Santa Rosa, CA and has the professional credentials of MD. The NPI Number for Mark J Popovich is 1245320704 and holds a License No. G57995 (California).

The current practice location address for Mark J Popovich is 3883 Airway Dr Ste 100, Santa Rosa, CA and can be reached out via phone at 707-521-4480 and via fax at 707-521-4460. You can also correspond with Mark J Popovich through the mailing address at 325 DISTEL CIR, LOS ALTOS, CA - 94022-1408 (mailing address contact number: 707-521-4480).

Location: 3883 Airway Dr Ste 100, Santa Rosa, CA, 94022-1408
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245320704
Provider Name
Mark J Popovich
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3883 Airway Dr Ste 100, Santa Rosa, CA, 94022-1408
Phone Number
707-521-4480
Fax Number
707-521-4460
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G579950 05 CA
473423 01 CA AMERICAN BOARD OF RADIOLOGY
G57995 01 CA STATE MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
3883 Airway Dr Ste 100
City
Santa Rosa
State
California
Zip
95403-1672
Phone Number
707-521-4480
Fax Number
707-521-4460
person
Provider Business Mailing Address Details
Address
325 Distel Cir
City
Los Altos
State
California
Zip
94022-1408
Phone Number
707-521-4480
Fax Number
707-521-4460
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
G57995 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
G57995 (California)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G57995 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
G57995 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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