Most Relevant Information
Provider Data
| NPI Number: | 1003831041 |
| Provider Name: | MARK ALLEN TAPSCOTT D.O. |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 20A5472 |
Most Important Dates
| Enumeration Date: | 07/12/2006 |
| Last Updated: | 07/21/2009 |
Provider Practice Location
5555 RESERVOIR DR
SUITE 203
SAN DIEGO
CA
921205134
Practice Location Phone/Fax
| Phone: | 6192872590 |
| Fax: | 6192872913 |
Provider Mailing Location
5555 RESERVOIR DR
SUITE 203
SAN DIEGO
CA
921205134
Provider Mailing Phone/Fax
| Phone: | 6192872590 |
| Fax: | 6192872913 |