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NPI Code Detail

MEDICARE: MARK DAY DO

MEDICARE:   MARK  DAY  DO
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
1207Q00000XFamily Medicine Physician656NV

General Provider Information

NPI Number : 1164436994
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK DAY DO
Provider Business Mailing Address
First Line : PO BOX 50698
Second Line :
City : HENDERSON
State : NV
Zip : 89074-0698
Country : US
Telephone Number : 702-456-9100
Fax Number : 702-434-7354
Provider Business Practice Location Address
First Line : 1655 E CACTUS AVE STE 400
Second Line :
City : LAS VEGAS
State : NV
Zip : 89183-7723
Country : US
Telephone Number : 702-724-8777
Fax Number : 702-724-8749
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2006
Last Update Date : 11/06/2025

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Directions to “ MARK DAY DO” Practice Location

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