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NPI Code Detail

MEDICARE: DR. MARC ZEREY MD

MEDICARE: DR. MARC ZEREY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery PhysicianA101096CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1I40392OTHERCAMEDICARE UPIN

General Provider Information

NPI Number : 1033141668
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARC ZEREY MD
Provider Business Mailing Address
First Line : 317 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4355
Country : US
Telephone Number : 805-898-3140
Fax Number : 805-898-3117
Provider Business Practice Location Address
First Line : 317 W PUEBLO ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93105-4355
Country : US
Telephone Number : 805-898-3140
Fax Number : 805-898-3117
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2006
Last Update Date : 03/10/2014

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