Individual
MARK ESCUDERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 EUREKA RD, DEPT OF RADIOLOGY, ROSEVILLE, CA 95661-3027
(858) 337-6226
Mailing address
938 OLD RANCH HOUSE RD, ROCKLIN, CA 95765-6285
(858) 337-6226
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
A129633
CA
Other
Enumeration date
04/30/2009
Last updated
12/15/2021
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