Individual provider · Type 1 NPI
Mark Anthony Andrew Wimbley
General Practice Physician · Anaheim, CA
NPI number
1124040068
Active
Practice location
1175 N Euclid St
Anaheim, CA 92801-1938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G75382 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
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About NPI 1124040068
Mark Anthony Andrew Wimbley's National Provider Identifier is 1124040068, issued on Jul 23, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Anaheim, CA. The record was last updated on Jul 8, 2007.