Organization
MARK M. SEGALL, MD, A MEDICAL CORPORATION
Active
Organization
MARK M. SEGALL, MD, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK M SEGALL M.D. (PRESIDENT)
(408) 358-3500
Entity
Organization
Contact information
Practice address
15195 NATIONAL AVE, SUITE 202, LOS GATOS, CA 95032-2631
(408) 358-3500
(408) 358-3608
Mailing address
15195 NATIONAL AVE, SUITE 202, LOS GATOS, CA 95032-2631
(408) 358-3500
(408) 358-3608
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
GO24951
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0954018
—
CA
Enumeration date
12/07/2007
Last updated
12/11/2010
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