Organization
ADULT & PEDIATRIC GASTROENTEROLOGY MEDICAL CENTER
Active
Other names
Blackhawk Center for Digestive Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY C. G. MARK M.D. (PHYSICIAN)
(925) 736-8228
Entity
Organization
Contact information
Practice address
111 DEERWOOD RD, SUITE 168, SAN RAMON, CA 94583-4409
(925) 736-8228
(925) 736-8882
Mailing address
111 DEERWOOD RD, SUITE 168, SAN RAMON, CA 94583-4409
(925) 736-8228
(925) 736-8882
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G83524
CA
Other
Enumeration date
07/06/2007
Last updated
01/10/2012
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