Provider Demographics
NPI:1346275278
Name:BAYER, MARK J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:J
Last Name:BAYER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:72780 COUNTRY CLUB DR
Mailing Address - Street 2:BLDG. B - 203
Mailing Address - City:RANCHO MIRAGE
Mailing Address - State:CA
Mailing Address - Zip Code:92270-4126
Mailing Address - Country:US
Mailing Address - Phone:760-674-3847
Mailing Address - Fax:760-674-3845
Practice Address - Street 1:45280 SEELEY DR
Practice Address - Street 2:1ST FLOOR
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-6834
Practice Address - Country:US
Practice Address - Phone:760-610-7210
Practice Address - Fax:760-564-0101
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2016-02-25
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Provider Licenses
StateLicense IDTaxonomies
CAA34160207P00000X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABY111YMedicare PIN
CAE65319Medicare UPIN