Organization
MARK BAZALGETTE, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY PARDINI (PRACTICE ADMINISTRATOR)
(415) 461-3300
Entity
Organization
Contact information
Practice address
1300 S ELISEO DR, SUITE 203, GREENBRAE, CA 94904-2023
(415) 461-3300
(415) 461-2934
Mailing address
1300 S ELISEO DR, SUITE 203, GREENBRAE, CA 94904-2023
(415) 461-3300
(415) 461-2934
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A46290
CA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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