Individual
MARK DRUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
750 LAS GALLINAS AVE, SUITE 115, SAN RAFAEL, CA 94903-3438
(415) 472-5575
(415) 472-0502
Mailing address
750 LAS GALLINAS AVE, SUITE 115, SAN RAFAEL, CA 94903-3438
(415) 472-5575
(415) 472-0502
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E1561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94-2682725
TAX ID #
CA
01
—
E1561
LICENSE #
CA
Enumeration date
07/11/2006
Last updated
01/18/2011
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