Individual
DR. MARK ALLEN WARFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
4136 PENNSYLVANIA AVE, FAIR OAKS, CA 95628-7413
(916) 548-0218
(916) 965-4129
Mailing address
4136 PENNSYLVANIA AVE, FAIR OAKS, CA 95628-7413
(916) 548-0218
(916) 965-4129
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E3548
CA
213EP1101X
Primary Podiatric Medicine Podiatrist
E3548
CA
213ES0000X
Sports Medicine Podiatrist
E3548
CA
Other
Enumeration date
12/05/2006
Last updated
09/23/2010
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