Mr. Clifford Marr
Pediatric Surgery
5275 F St Ste 3
Sacramento
, California 95819-3225
Mr. Clifford Marr
Pediatric Surgery
5275 F St Ste 3
Sacramento
, California 95819-3225
(916) 736-6798
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About
Features
Specialties
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Mr. Clifford Marr
- P.o. Box 255228
- Sacramento, CA
- Zip : 95865-5228
- Fax : (916) 736-6798
- Phone : (800) 470-0071
Second Address
- Mr. Clifford Marr
- 5275 F St Ste 3
- Sacramento, CA
- Zip : 95819-3225
- Fax : (916) 733-6051
- Phone : (916) 733-6050
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0120X | Pediatric Surgery | G45773 | CA |
National Provider Identifier
| NPI | 1215929799 |
|---|---|
| Provider Name | Mr. Clifford Marr |
| First Address | Sacramento, CA 95865-5228 |
| Second Address | Sacramento, CA 95819-3225 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/08/2005 |
| Last Update Date | 12/01/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G457730 | (05) | CA |
| A50179 | (02) |
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.