Mark W. Redor, M.D.

Specialist · Placerville, CA

Individual Active NPI

NPI number 1013963594

Practice location

1006 Marshall Way
Placerville, CA 95667-5706
Phone
(530) 622-6430
Fax
(530) 622-3957

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NPI record

NPI
1013963594
Entity type
Individual (Type 1)
Enumeration date
May 26, 2006
Last updated
May 27, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Specialist Primary 174400000X G56411 CA

About Dr. Redor

Mark W. Redor, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1006 Marshall Way, Placerville, CA 95667-5706. The NPI number 1013963594 was assigned on May 26, 2006 and the record was last updated on May 27, 2009.

Dr. Redor lists a license in the registry: #G56411 (CA) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark W. Redor, M.D.?

The NPI number is 1013963594.

What is the phone number of Dr. Redor?

The phone number listed for the practice location is (530) 622-6430.

Where is Dr. Redor located?

1006 Marshall Way, Placerville, CA 95667-5706.

What is the taxonomy code for Dr. Redor?

The primary taxonomy code is 174400000X – Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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