Individual
NATALIE R MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
208 CONCOURSE BLVD, SUITE 1, SANTA ROSA, CA 95403
(707) 544-3400
(707) 544-0137
Mailing address
208 CONCOURSE BLVD, SUITE 1, SANTA ROSA, CA 95403
(707) 544-3400
(707) 544-0137
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16126
CA
Other
Enumeration date
03/28/2007
Last updated
07/21/2015
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