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Organization

GUEY C MARK M D INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUEY C MARK (PRESIDENT OF GUEY C MARK M D INC)
(209) 463-2180
Entity
Organization

Contact information

Practice address
1072 W. MONTEREY AVENUE, STOCKTON, CA 95204-3031
(209) 463-2180
Mailing address
1072 W. MONTEREY AVENUE, STOCKTON, CA 95204-3031
(209) 463-2180

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
C191890
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C191890
CA
Enumeration date
08/27/2008
Last updated
08/27/2008
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