| Mr Mark Richard Lederer, PA | |
|
309 Kingsly Ln, American Canyon, CA 94503-4111 | |
| (707) 980-4227 | |
| (866) 396-8755 |
| Full Name | Mr Mark Richard Lederer |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 309 Kingsly Ln, American Canyon, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285700781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA12772 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mark Richard Lederer, PA 309 Kingsly Ln, American Canyon, CA 94503-4111 Ph: (707) 980-4227 | Mr Mark Richard Lederer, PA 309 Kingsly Ln, American Canyon, CA 94503-4111 Ph: (707) 980-4227 |
Elizabeth Barg Martorana, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3431 Broadway St Ste A8, American Canyon, CA 94503 Phone: 707-492-5014 | |
Gary L Mccorkle, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3431 Broadway St, A8, American Canyon, CA 94503 Phone: 707-731-1108 Fax: 707-652-2679 |