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Individual

MR. MARK ANDREW CROMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
C.P.O.

Contact information

Practice address
16520 HARBOR BLVD, SUITE G, FOUNTAIN VALLEY, CA 92708-1360
(714) 210-1298
(714) 210-1336
Mailing address
16520 HARBOR BLVD, SUITE G, FOUNTAIN VALLEY, CA 92708-1360
(714) 210-1298
(714) 210-1336

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
CPO03377
CA
224P00000X
Prosthetist
Primary
CPO03377
CA

Other

Enumeration date
02/08/2017
Last updated
02/08/2017
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