| Mark J Provda, MD | |
|
1425 S Main St, Walnut Creek, CA 94596-5318 | |
| (925) 295-4000 | |
| Not Available |
| Full Name | Mark J Provda |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1425 S Main St, Walnut Creek, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194803254 | NPI | - | NPPES |
| 00C370750 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | C37075 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mark J Provda, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3429 Ph: (510) 625-6262 | Mark J Provda, MD 1425 S Main St, Walnut Creek, CA 94596-5318 Ph: (925) 295-4000 |
Brook Andrew Woolley, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1425 S Main St, Emergency Medicine Department, Walnut Creek, CA 94596 Phone: 925-295-5100 | |
Malcolm C Johnson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 | |
Alice Decker Hunter, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 | |
Seigfred P. Jalalon, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1450 Treat Blvd # 160, Walnut Creek, CA 94597 Phone: 925-296-9000 | |
Theodore Ira Kloth, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598 Phone: 925-939-3000 | |
Stephanie Carlson, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 | |
Michael R. Lozano, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1425 S Main St, Walnut Creek, CA 94596 Phone: 925-295-4000 |