Individual provider · Type 1 NPI

Mark J. Popovich, MD

Diagnostic Radiology Physician · Santa Rosa, CA

NPI number 1245320704 Active

Practice location

3883 Airway Dr Ste 100
Santa Rosa, CA 95403-1672

Fax (707) 521-4460

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408

Other practice locations

  • 2455 Summerfield Rd, Santa Rosa, CA 95405-7815 · (707) 523-2666

Specialties and licenses

TaxonomyCodeLicense
Body Imaging Physician 2085B0100XG57995 (CA)
Nuclear Radiology Physician 2085N0904XG57995 (CA)
Diagnostic Ultrasound Physician 2085U0001XG57995 (CA)
Diagnostic Radiology Physician Primary 2085R0202XG57995 (CA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1245320704

Mark J. Popovich, MD's National Provider Identifier is 1245320704, issued on Oct 13, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Santa Rosa, CA. The record was last updated on Aug 26, 2019.