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MARK COLOMBO MD

Anatomic Pathology & Clinical Pathology >> Pathology >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1083827844

Individual Registrant:
 MARK  COLOMBO MD
Gender: M
Sole Proprietor

Location and contact information for practice:
22 GOLDEN HIND PSGE  CORTE MADERA, CA 94925-1908 US
Tel: 415-924-2040  Fax: --

Contact information for business:
22 GOLDEN HIND PSGE  CORTE MADERA, CA 94925-1908 US
Tel: 415-924-2040  Fax: --

Registration Information:
NPI: 1083827844
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207ZP0102XAllopathic & Osteopathic Physicians
Pathology
Anatomic Pathology & Clinical Pathology
CAG85772

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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