Individual
MARK TRENT SYLVESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12719 SHOCKLEY WOODS COURT, AUBURN, CA 95603
(916) 764-0733
(530) 887-0348
Mailing address
PO BOX 9236, AUBURN, CA 95604-9236
(916) 764-0733
(530) 887-0348
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G75212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G752122
—
CA
Enumeration date
12/28/2006
Last updated
07/08/2007
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