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NPI Code Detail

MEDICARE: MARK STEPHEN GIESBRECHT M.D.

MEDICARE: MARK STEPHEN GIESBRECHT M.D.
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
12084P0800XPsychiatry PhysicianA84165CA

General Provider Information

NPI Number : 1366554560
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK STEPHEN GIESBRECHT M.D.
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-635-2950
Fax Number : 661-635-2950
Provider Business Practice Location Address
First Line : 1600 E BELLE TER
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93307-3871
Country : US
Telephone Number : 661-635-2950
Fax Number : 661-635-2983
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 05/18/2021

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