Mark Daniel Pegram
Hematology & Oncology Surgical Oncologist
900 Blake Wilbur Dr First Floor
Palo Alto
, California 94304-2201
Mark Daniel Pegram
Hematology & Oncology Surgical Oncologist
900 Blake Wilbur Dr First Floor
Palo Alto
, California 94304-2201
(650) 736-0607
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About
Features
Specialties
- Hematology & Oncology
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Mark Daniel Pegram
- 900 Blake Wilbur Dr First Floor
- Palo Alto, CA
- Zip : 94304-2201
- Fax : (650) 736-0607
- Phone : (650) 498-6004
Second Address
- Mark Daniel Pegram
- 900 Blake Wilbur Dr First Floor
- Palo Alto, CA
- Zip : 94304-2201
- Fax : (650) 736-0607
- Phone : (650) 498-6004
Reviews
FAQs
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Is Mark Daniel Pegram a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | A46221 | CA |
| N | 2086X0206X | Surgical Oncologist | A46221 | CA |
National Provider Identifier
| NPI | 1356361554 |
|---|---|
| Provider Name | Mark Daniel Pegram |
| First Address | Palo Alto, CA 94304-2201 |
| Second Address | Palo Alto, CA 94304-2201 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 14/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A462210 | (05) | CA |
| D95820 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.