Girguis, Mark S

Girguis, Mark S is an individual health care provider with primary practice located at 400 N Pepper Ave , Colton CA 92324-1819. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Girguis, Mark S can be contacted via phone (909) 580-1520.

Contact Information

Primary practice address
400 N Pepper Ave Colton CA 92324-1819
Phone: (909) 580-1520
Fax: (909) 580-1561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D79826 Maryland
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME112607 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036166384 Illinois
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A82528 California

Profile Details

NPI number 1477591154
LBN Legal business name Girguis, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Aug 31st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477591154 NPPES
California MEDICAID 00A825280

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