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Organization

SPARC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK SONTAG M.D. (OWNER)
(650) 780-0575
Entity
Organization

Contact information

Practice address
363 MAIN ST # B, REDWOOD CITY, CA 94063-1729
(650) 780-0575
Mailing address
363 MAIN ST # B, REDWOOD CITY, CA 94063-1729
(650) 780-0575

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
6052976
CA

Other

Enumeration date
02/01/2007
Last updated
08/22/2020
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