| Mark Demeo, MD | |
|
1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405-4801 | |
| (209) 575-4575 | |
| (209) 575-4598 |
| Full Name | Mark Demeo |
|---|---|
| Gender | Male |
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
| Location | 1165 Montgomery Dr, Santa Rosa, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447208921 | NPI | - | NPPES |
| 00G129880 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G12988 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Demeo, MD Po Box 4978, Modesto, CA 95352-4978 Ph: (209) 575-4575 | Mark Demeo, MD 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405-4801 Ph: (209) 575-4575 |
John F. Kunkel, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
John Wolfe, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Pathology Dept, Santa Rosa, CA 95405 Phone: 209-575-4575 Fax: 209-575-4598 | |
Dr. Joseph Stephen Wand, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3715 Nielsen Rd, Santa Rosa, CA 95404 Phone: 707-527-7968 | |
Charles A Amezcua, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4686 | |
Robert J. Risdall, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 | |
Tiffany A. Camarillo, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-571-4000 |