Individual
DR. MARK MELVYN SEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15195 NATIONAL AVE, STE. #202, LOS GATOS, CA 95032-2631
(408) 358-3500
(408) 358-3608
Mailing address
15195 NATIONAL AVE, STE. #202, LOS GATOS, CA 95032-2631
(408) 358-3500
(408) 358-3608
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
G024951
CA
208C00000X
Colon & Rectal Surgery Physician
Primary
G024951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0954018
—
CA
Enumeration date
10/23/2006
Last updated
09/14/2011
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