Individual
DR. JEAN PETERS MAKRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 541-3420
(530) 541-8723
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5659
(530) 541-8723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A77127
CA
208M00000X
Hospitalist Physician
Primary
A77127
CA
Other
Enumeration date
07/07/2005
Last updated
11/06/2017
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