# MARK DRUCKER, D.P.M., A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952607657
- **Authorized official:** MRS. JUDY M MILLIKIN (BOOKKEEPER)
- **Authorized official phone:** (415) 472-5575

## Contact information

- **Practice address:** 750 LAS GALLINAS AVE, SUITE 115, SAN RAFAEL, CA 94903-3438
- **Practice address phone:** (415) 472-5575
- **Practice address fax:** (415) 472-0502
- **Mailing address:** 750 LAS GALLINAS AVE, SUITE 115, SAN RAFAEL, CA 94903-3438
- **Mailing address phone:** (415) 472-5575
- **Mailing address fax:** (415) 472-0502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 01/28/2011
- **Last updated:** 03/02/2011