person
Mark Drucker, DPM
Foot & Ankle Surgery Podiatrist in San Rafael, California
NPI 1720013550

Mark Drucker is a Foot & Ankle Surgery Podiatrist based in San Rafael, CA and is specialized in Foot & Ankle Surgery. Mark Drucker practices in San Rafael, CA and has the professional credentials of DPM. The NPI Number for Mark Drucker is 1720013550 and holds a License No. E1561 (California).

The current practice location address for Mark Drucker is 750 Las Gallinas Ave, San Rafael, CA and can be reached out via phone at 415-472-5575 and via fax at 415-472-0502.

Location: 750 Las Gallinas Ave, San Rafael, CA, 94903-3438
person
Provider Profile Details
NPI Number
1720013550
Provider Name
Mark Drucker
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
750 Las Gallinas Ave, San Rafael, CA, 94903-3438
Phone Number
415-472-5575
Fax Number
415-472-0502
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
E1561 01 CA LICENSE #
94-2682725 01 CA TAX ID #
institution
Provider Business Practice Location Address Details
Address
750 Las Gallinas Ave
City
State
Zip
94903-3438
Phone Number
415-472-5575
Fax Number
415-472-0502
person
Provider Business Mailing Address Details
Address
750 Las Gallinas Ave
City
State
Zip
94903-3438
Phone Number
415-472-5575
Fax Number
415-472-0502
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
E1561 (California)
Definition
Definition to come...
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