Provider Demographics
NPI:1013019421
Name:PINTER, MARK EDWARD (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:EDWARD
Last Name:PINTER
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:490 POST ST
Mailing Address - Street 2:SUITE 450
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-1417
Mailing Address - Country:US
Mailing Address - Phone:415-781-4833
Mailing Address - Fax:415-781-3361
Practice Address - Street 1:490 POST ST
Practice Address - Street 2:SUITE 450
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1417
Practice Address - Country:US
Practice Address - Phone:415-781-4833
Practice Address - Fax:415-781-3361
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2010-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAE2083213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE2083Medicaid
CAE2083Medicare ID - Type Unspecified
CAE2083Medicaid