Organization · Type 2 NPI
Mark Godiksen
Non-Pharmacy Dispensing Site · Clovis, CA
NPI number
1760725758
Active
Practice location
688 Medical Center Dr E, Suite 106
Clovis, CA 93611-6807
Mailing address
5626 Oberlin Dr, Suite 110
San Diego, CA 92121-1705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-Pharmacy Dispensing Site Primary | 332900000X | A43850 (CA) |
Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
4 other providers at this address
- Robert K Grazier MD IncGeneral Practice Physician Clovis, CA NPI 1831504034
- Allen O. Clyde, D.P.M.Foot & Ankle Surgery Podiatrist Clovis, CA NPI 1962538462
- David Francis Carey, MDFamily Medicine Physician Clovis, CA NPI 1790060457
- Mark V. Godiksen, MDInternal Medicine Physician Clovis, CA NPI 1760518245
Other non-pharmacy dispensing site providers in Clovis
About NPI 1760725758
Mark Godiksen's National Provider Identifier is 1760725758, issued on Mar 28, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Clovis, CA. The record was last updated on Mar 28, 2013.