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NPI Code Detail

MEDICARE: ALLEN MARKOVIC PA-C

MEDICARE: ALLEN MARKOVIC PA-C
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
1363A00000XPhysician AssistantPA0004463CO
2363A00000XPhysician AssistantPA1587NV
3363A00000XPhysician AssistantPA54387CA

General Provider Information

NPI Number : 1184015182
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLEN MARKOVIC PA-C
Provider Business Mailing Address
First Line : 3105 CEDAR RAVINE RD
Second Line : STE 201
City : PLACERVILLE
State : CA
Zip : 95667-6561
Country : US
Telephone Number : 530-626-1602
Fax Number :
Provider Business Practice Location Address
First Line : 3301 C ST STE 1300
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-3370
Country : US
Telephone Number : 916-734-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2015
Last Update Date : 12/23/2019

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Directions to “ ALLEN MARKOVIC PA-C” Practice Location

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