Organization
MARK S SPITZER D O
Active
Other names
Associated ENT of Merced
Organization subpart
No
Provider details
NPI number
Authorized official
MARK S. SPITZER D. O. (PRESIDENT)
(209) 722-9272
Entity
Organization
Contact information
Practice address
410 E YOSEMITE AVE, SUITE B, MERCED, CA 95340-8220
(209) 722-9272
(209) 724-9329
Mailing address
PO BOX 3797, MERCED, CA 95344-3797
(209) 722-9272
(209) 724-9329
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ55645Y
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/07/2009
Last updated
05/07/2009
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