Individual
MR. BRENT CHRISTOPHER MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
75 NEILSON ST, WATSONVILLE, CA 95076-2468
(831) 761-5613
Mailing address
519 CEDAR ST, APTOS, CA 95003-3504
(831) 588-8590
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA21097
CA
Other
Enumeration date
09/17/2010
Last updated
03/14/2014
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