Individual
MARK B PARDOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2752 HARRISON AVE, SUITE A, EUREKA, CA 95501-4738
(707) 445-3075
(707) 445-3076
Mailing address
2752 HARRISON AVE, SUITE A, EUREKA, CA 95501-4738
(707) 445-3075
(707) 445-3076
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A78580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A785800
—
CA
Enumeration date
10/25/2006
Last updated
11/09/2021
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