Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK ESCUDERO
ActiveMARK ESCUDERO is a Pediatric Radiology healthcare provider located in ROSEVILLE, California. NPI 1235373549 is currently active in the NPPES registry. Verify at CMS.
Pediatric Radiology · ROSEVILLE, CA
Registration Details
- NPI Number
- 1235373549
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2009 (17.310759249886 yrs)
- Last Updated
- Dec 15, 2021
- License
-
A129633 (CA)
Practice Information
- Address
-
1600 EUREKA RDDEPT OF RADIOLOGYROSEVILLE, CA, 956613027Browse CA providers · Browse ZIP 95661
- Phone
- 8583376226
- Primary Specialty
-
Pediatric Radiology
2085P0229X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.