MEDICARE: DR. JOHN MARK POZAR 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
1	208D00000X	General Practice Physician	MD08211	OR

General Provider Information

NPI Number	:	1235392242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN MARK POZAR MD

Provider Business Mailing Address
First Line	:	PO BOX 12444
Second Line	:	998 CAPITOL ST., NE
City	:	SALEM
State	:	OR
Zip	:	97309-0444
Country	:	US
Telephone Number	:	503-569-0756
Fax Number	:

Provider Business Practice Location Address
First Line	:	998 CAPITOL ST NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97301-1201
Country	:	US
Telephone Number	:	503-569-0756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	07/09/2008

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