Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E2083 | CA |
Y | 222Z00000X | Podiatrist | E2083 | CA |
NPI | 1013019421 |
---|---|
Provider Name | Dr. Mark Edward Pinter |
First Address | San Francisco, CA 94102-1417 |
Second Address | San Francisco, CA 94102-1417 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 22/07/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E2083 | (05) | CA |
T11169 | (02) |