Individual
MARK E. ENDICOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2801 K STREET, SUITE 500, SACRAMENTO, CA 95816-5119
(916) 732-3341
(916) 732-3360
Mailing address
2801 K ST 500, SACRAMENTO, CA 95816-5119
(916) 732-3340
(916) 732-3360
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G46261
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G46261
—
CA
Enumeration date
03/10/2006
Last updated
02/05/2024
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