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Dr. Mark A Vierra, MD
Specialist in Poway, California
NPI 1730187121

Mark A Vierra is a Specialist based in San Diego, CA. Mark A Vierra practices in Poway, CA and has the professional credentials of MD. The NPI Number for Mark A Vierra is 1730187121 and holds a License No. A64866 (California).

The current practice location address for Mark A Vierra is 15525 Pomerado Rd, Poway, CA and can be reached out via phone at 858-451-3311 and via fax at 858-451-1142.

Location: 15525 Pomerado Rd, Poway, CA, 92129-2458
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730187121
Provider Name
Mark A Vierra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15525 Pomerado Rd, Poway, CA, 92129-2458
Phone Number
858-451-3311
Fax Number
858-451-1142
Provider Enumeration Date
07/11/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A648660 05 CA
institution
Provider Business Practice Location Address Details
Address
15525 Pomerado Rd
City
Poway
State
California
Zip
92064-2435
Phone Number
858-451-3311
Fax Number
858-451-1142
person
Provider Business Mailing Address Details
Address
15525 Pomerado Rd
City
Poway
State
California
Zip
92064-2435
Phone Number
858-451-3311
Fax Number
858-451-1142
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
A64866 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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