| Mark D Allison Md A Professional Corp | |
|
4100 Central Ave #106 Riverside CA 92506-2933 | |
| (951) 788-8332 | |
| (951) 788-6380 |
| Full Name | Mark D Allison Md A Professional Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 4100 Central Ave, Riverside, California |
| Authorized Official Name and Position | Mark David Allison (PRESIDENT) |
| Authorized Official Contact | 9517888332 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark D Allison Md A Professional Corp Po Box 1413 Riverside CA 92502-1413 Ph: (951) 788-8332 | Mark D Allison Md A Professional Corp 4100 Central Ave #106 Riverside CA 92506-2933 Ph: (951) 788-8332 |
| NPI Number | 1962524538 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 06/18/2012 |
| Medicare PECOS PAC ID | 7416857115 |
|---|---|
| Medicare Enrollment ID | O20040109000796 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962524538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C50568 (California) | Primary |
| Provider Name | Mark D Allison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164471223 PECOS PAC ID: 7315847092 Enrollment ID: I20040109000825 |
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