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Wendell Mark Street, MD
Pain Medicine (Anesthesiology) Physician in Victorville, California
NPI 1437240314

Wendell Mark Street is a Pain Medicine (Anesthesiology) Physician based in Corona, CA and is specialized in Pain Medicine. Wendell Mark Street practices in Victorville, CA and has the professional credentials of MD. The NPI Number for Wendell Mark Street is 1437240314 and holds a License No. A43837 (California).

The current practice location address for Wendell Mark Street is 14075 Hesperia Rd, Victorville, CA and can be reached out via phone at 760-596-3708 and via fax at 760-596-3731.

Location: 14075 Hesperia Rd, Victorville, CA, 92879-2157
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437240314
Provider Name
Wendell Mark Street
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14075 Hesperia Rd, Victorville, CA, 92879-2157
Phone Number
760-596-3708
Fax Number
760-596-3731
Provider Enumeration Date
09/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
330619189 01 CA FEDERAL TAX ID
institution
Provider Business Practice Location Address Details
Address
14075 Hesperia Rd
City
Victorville
State
California
Zip
92395-4500
Phone Number
760-596-3708
Fax Number
760-596-3731
person
Provider Business Mailing Address Details
Address
14075 Hesperia Rd
City
Victorville
State
California
Zip
92395-4500
Phone Number
760-596-3708
Fax Number
760-596-3731
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Anesthesiology
Speciality
Pain Medicine
Taxonomy
207LP2900X
License No.
A43837 (California)
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
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