Individual provider · Type 1 NPI
Mark W. Redor, MD
Specialist · Placerville, CA
NPI number
1013963594
Active
Practice location
1006 Marshall Way
Placerville, CA 95667-5706
Fax (530) 622-3957
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | G56411 (CA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1013963594
Mark W. Redor, MD's National Provider Identifier is 1013963594, issued on May 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Placerville, CA. The record was last updated on May 27, 2009.