Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK BURRELL BAZALGETTE, MD
ActiveColon & Rectal Surgery · NOVATO, CA
Registration Details
- NPI Number
- 1891806014
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 31, 2006 (19.638266039956 yrs)
- Last Updated
- Jan 22, 2020
- License
-
A46290 (CA)
Practice Information
- Address
-
165 ROWLAND WAY STE 200NOVATO, CA, 949455055Browse CA providers · Browse ZIP 94945
- Phone
- 4158270344
- Fax
- 4159242661
- Primary Specialty
-
Colon & Rectal Surgery
208C00000X
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.