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Individual
DR. MARK G TALAVERA
Active
Individual
DR. MARK G TALAVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54613
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A54613
CA
207RP1001X
Pulmonary Disease Physician
A54613
CA
Other
Enumeration date
11/24/2006
Last updated
08/08/2017
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