Individual
DR. MARK ANTHONY DAMARIO
Active
Individual
DR. MARK ANTHONY DAMARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
39010
MN
207VE0102X
Reproductive Endocrinology Physician
Primary
39010
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0559732
—
IA
05
—
0658191
—
MT
01
—
07-00036
MEDICA PRIMARY
MN
01
—
07-03521
MEDICA CHOICE
MN
01
—
1032946
PREFERRED ONE
MN
05
—
10387
—
ND
01
—
117633
UCARE
MN
01
—
1751675
ARAZ
MN
01
—
335J6DA
BCBS
MN
05
—
34319900
—
WI
05
—
7777470
—
SD
01
—
HP36573
HEALTHPARTNERS
MN
Enumeration date
06/28/2006
Last updated
06/03/2015
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