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Individual
MARK STERLING BASON-MITCHELL
Active
Individual
MARK STERLING BASON-MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01088384A
IN
207P00000X
Emergency Medicine Physician
036171501
IL
207P00000X
Emergency Medicine Physician
Primary
A72356
CA
207P00000X
Emergency Medicine Physician
MD219339
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A723560
—
CA
Enumeration date
06/02/2006
Last updated
10/02/2024
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