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NPI Code Detail

MEDICARE: DR. MARK RAYBECK M.D.

MEDICARE:  DR. MARK  RAYBECK  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
1207L00000XAnesthesiology PhysicianA74922CA

General Provider Information

NPI Number : 1730174806
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK RAYBECK M.D.
Provider Business Mailing Address
First Line : 909 SQUALICUM WAY
Second Line : STE 102
City : BELLINGHAM
State : WA
Zip : 98225-2077
Country : US
Telephone Number : 360-647-3377
Fax Number : 360-752-3214
Provider Business Practice Location Address
First Line : 3444 KEARNY VILLA RD STE 100
Second Line :
City : SAN DIEGO
State : CA
Zip : 92123-1960
Country : US
Telephone Number : 858-268-3566
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 08/13/2019

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Directions to “ DR. MARK RAYBECK M.D.” Practice Location

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