Individual
MR. MARK HENRY EATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY AVE., SACRAMENTO, CA 95825-6524
(916) 830-2000
(916) 830-2001
Mailing address
500 UNIVERSITY AVE., SACRAMENTO, CA 95825-6524
(916) 830-2000
(916) 830-2001
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G73724
CA
207UN0901X
Nuclear Cardiology Physician
G73724
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G737240
—
CA
Enumeration date
05/16/2006
Last updated
11/14/2011
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