Individual
GAIL MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 E VANDERBILT WAY, STE B, SAN BERNARDINO, CA 92408
(909) 886-1001
(909) 886-1107
Mailing address
350 E VANDERBILT WAY, STE B, SAN BERNARDINO, CA 92408
(909) 886-1001
(909) 886-1107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G45659
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G456590
MEDI CAL
CA
05
—
00G456590
—
CA
01
—
P01282954/DU4034
RAILROAD MEDICARE
CA
Enumeration date
06/27/2006
Last updated
03/15/2019
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