Individual
DR. MARK A WINCHESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 F ST, #117, SACRAMENTO, CA 95819-3226
(916) 733-1788
(916) 733-1787
Mailing address
1010 HURLEY WAY, #475, SACRAMENTO, CA 95825-3215
(916) 561-6818
(916) 561-4263
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G34163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G341630
—
CA
01
—
P00082832
RAILROAD MEDICARE PIN
CA
Enumeration date
09/27/2005
Last updated
07/12/2007
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