Individual
MR. MARK S SAMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 MERCY AVE, STE 400, MERCED, CA 95340-8363
(209) 564-3700
(209) 564-3799
Mailing address
3400 DATA DR, QUALITY DEPT., 2ND FL, RANCHO CORDOVA, CA 95670-7956
(916) 379-2861
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
G36285
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G362850
—
CA
Enumeration date
05/23/2006
Last updated
09/21/2016
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