Mr Mark Richard Lederer, PA | |
309 Kingsly Ln, American Canyon, CA 94503-4111 | |
(707) 980-4227 | |
(866) 396-8755 |
Full Name | Mr Mark Richard Lederer |
---|---|
Gender | Male |
Speciality | Physician Assistant |
Location | 309 Kingsly Ln, American Canyon, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285700781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363A00000X | Physician Assistant | PA12772 (California) | Primary |
Mailing Address | Practice Location Address |
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Mr Mark Richard Lederer, PA 309 Kingsly Ln, American Canyon, CA 94503-4111 Ph: (707) 980-4227 | Mr Mark Richard Lederer, PA 309 Kingsly Ln, American Canyon, CA 94503-4111 Ph: (707) 980-4227 |
Elizabeth Barg Martorana, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3431 Broadway St Ste A8, American Canyon, CA 94503 Phone: 707-492-5014 | |
Harneet Sandhu, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 107 Crestwood Ln, American Canyon, CA 94503 Phone: 707-344-0757 | |
Gary L Mccorkle, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3431 Broadway St, A8, American Canyon, CA 94503 Phone: 707-731-1108 Fax: 707-652-2679 |