Individual
DR. MARK MANSOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3501 PALMER DR, SUITE 201, CAMERON PARK, CA 95682-8276
(530) 672-7040
Mailing address
PO BOX 45680, SAN FRANCISCO, CA 94145-0680
(530) 672-7040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A86841
CA
207RR0500X
Rheumatology Physician
Primary
A86841
CA
Other
Enumeration date
12/01/2005
Last updated
10/12/2015
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