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Mark Daniel Pegram, MD
Surgical Oncology Physician in Palo Alto, California
NPI 1356361554

Mark Daniel Pegram is a Surgical Oncology Physician based in Palo Alto, CA and is specialized in Surgical Oncology. Mark Daniel Pegram practices in Palo Alto, CA and has the professional credentials of MD. The NPI Number for Mark Daniel Pegram is 1356361554 and holds a License No. A46221 (California).

The current practice location address for Mark Daniel Pegram is 900 Blake Wilbur Dr, Palo Alto, CA and can be reached out via phone at 650-498-6004 and via fax at 650-736-0607. You can also correspond with Mark Daniel Pegram through the mailing address at 900 BLAKE WILBUR DR, PALO ALTO, CA - 94304-2201 (mailing address contact number: 650-498-6004).

Location: 900 Blake Wilbur Dr, Palo Alto, CA, 94304-2201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356361554
Provider Name
Mark Daniel Pegram
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
900 Blake Wilbur Dr, Palo Alto, CA, 94304-2201
Phone Number
650-498-6004
Fax Number
650-736-0607
Provider Enumeration Date
07/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A462210 05 CA
institution
Provider Business Practice Location Address Details
Address
900 Blake Wilbur Dr
City
Palo Alto
State
California
Zip
94304-2201
Phone Number
650-498-6004
Fax Number
650-736-0607
person
Provider Business Mailing Address Details
Address
900 Blake Wilbur Dr
City
Palo Alto
State
California
Zip
94304-2201
Phone Number
650-498-6004
Fax Number
650-736-0607
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A46221 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Surgical Oncology
Taxonomy
2086X0206X
License No.
A46221 (California)
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
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