Individual
MR. MARK J WARMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O.
Contact information
Practice address
4517 MARKET ST, STE 4, VENTURA, CA 93003-7710
(805) 658-1822
(805) 658-1824
Mailing address
4517 MARKET ST, STE 4, VENTURA, CA 93003-7710
(805) 658-1822
(805) 658-1824
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO1535
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
XC0015350
—
CA
Enumeration date
04/14/2008
Last updated
04/16/2008
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