Mark Todd Roback, DO

NPI #1801969829 in Fortuna, California

Provider Information

NPI Number: 1801969829
Entity Type: Individual
Name: Mark Todd Roback, DO
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: DO
Enumeration Date: Nov 16, 2006
Last Updated: Aug 25, 2014

Practice Location

Address: 3304 RENNER DR
City: Fortuna
State: California
ZIP Code: 95540-7102
Phone: (707) 725-4477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X	Primary

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