Mark Freeman, MD

NPI #1356426910 in Clearlake, California

Provider Information

NPI Number: 1356426910
Entity Type: Organization
Organization Name: Mark Freeman, MD
Primary Specialty: Family Medicine
Enumeration Date: Oct 25, 2006
Last Updated: Apr 17, 2009

Practice Location

Address: 15322 LAKESHORE DR
Address 2: SUITE 101
City: Clearlake
State: California
ZIP Code: 95422-9814
Phone: (707) 995-1362

Authorized Official

Name: MARK FREEMAN, MD
Title: CEO
Phone: (707) 995-1362

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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