Individual provider · Type 1 NPI

Mark Todd Roback, DO

General Practice Physician · Fortuna, CA

NPI number 1801969829 Active

Practice location

3304 Renner Dr
Fortuna, CA 95540-7102

Call (707) 725-4477 Map

Fax (707) 725-9209

Mailing address

670 9th Street, Suite 203
Arcata, CA 95521-6249

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XR1153 (KY)
General Practice Physician Primary 208D00000X20A10324 (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.

11 other providers at this address

About NPI 1801969829

Mark Todd Roback, DO's National Provider Identifier is 1801969829, issued on Nov 16, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fortuna, CA. The record was last updated on Aug 25, 2014.