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Individual
DR. MARK REED
Active
Individual
DR. MARK REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3696
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0378480001
DMERC SUPPLER NUMBER
CA
01
—
19003
DMERC CONTRACTOR NUMBER
CA
Enumeration date
12/22/2005
Last updated
12/04/2023
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