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Organization
MARK OLCOTT, M.D., INC.
Active
Organization
MARK OLCOTT, M.D., INC.
Active
Other names
Mission Medical Support
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK VERNON OLCOTT MD (OWNER/PRESIDENT)
(619) 795-0102
Entity
Organization
Contact information
Practice address
720 E SAN YSIDRO BLVD, SAN YSIDRO, CA 92173-3101
(619) 261-7427
Mailing address
720 E SAN YSIDRO BLVD, SAN YSIDRO, CA 92173-3101
(619) 261-7427
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
02/25/2019
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