Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK TODD ROBACK, DO
ActiveMARK TODD ROBACK, DO is a General Practice healthcare provider located in FORTUNA, California. NPI 1801969829 is currently active in the NPPES registry. Verify at CMS.
General Practice · FORTUNA, CA
Registration Details
- NPI Number
- 1801969829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.561682115613 yrs)
- Last Updated
- Aug 25, 2014
- Licenses
-
R1153 (KY)20A10324 (CA)
Practice Information
- Address
-
3304 RENNER DRFORTUNA, CA, 955407102Browse CA providers · Browse ZIP 95540
- Phone
- 7077254477
- Fax
- 7077259209
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
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.