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Organization
MARK V SOFONIO MD INC
Active
Organization
MARK V SOFONIO MD INC
Active
Other names
Plastic & Reconstructive Surgery & Laser Medical Center of the Desert
Organization subpart
No
Provider details
NPI number
Authorized official
MARK VINCENT SOFONIO MD (OWNER)
(760) 341-5555
Entity
Organization
Contact information
Practice address
71885 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4446
(760) 341-5555
(760) 341-8054
Mailing address
71885 HIGHWAY 111, RANCHO MIRAGE, CA 92270-4446
(760) 341-5555
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/25/2023
Last updated
05/06/2025
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