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Dr. Mark Tambellini, MD
Adult Medicine Physician in Granite Bay, California
NPI 1902115793

Mark Tambellini is an Adult Medicine Physician based in Granite Bay, CA and is specialized in Adult Medicine. Mark Tambellini practices in Granite Bay, CA and has the professional credentials of MD. The NPI Number for Mark Tambellini is 1902115793 and holds a License No. G37599 (California).

The current practice location address for Mark Tambellini is 5021 Brower Ct, Granite Bay, CA and can be reached out via phone at 916-761-9399 and via fax at 916-774-4360.

Location: 5021 Brower Ct, Granite Bay, CA, 95746-6742
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902115793
Provider Name
Mark Tambellini
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
5021 Brower Ct, Granite Bay, CA, 95746-6742
Phone Number
916-761-9399
Fax Number
916-774-4360
Provider Enumeration Date
09/28/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G37599 01 CA MEDICAL BOARD OF CALIFORNIA
institution
Provider Business Practice Location Address Details
Address
5021 Brower Ct
City
Granite Bay
State
California
Zip
95746-6742
Phone Number
916-761-9399
Fax Number
916-774-4360
person
Provider Business Mailing Address Details
Address
5021 Brower Ct
City
Granite Bay
State
California
Zip
95746-6742
Phone Number
916-761-9399
Fax Number
916-774-4360
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
G37599 (California)
Definition
Definition to come.
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