Provider Demographics
NPI:1346416427
Name:SOARES, MARC A (MD)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:A
Last Name:SOARES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5333 HOLLISTER AVE
Mailing Address - Street 2:STE 195
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2341
Mailing Address - Country:US
Mailing Address - Phone:805-967-1359
Mailing Address - Fax:805-683-3319
Practice Address - Street 1:5333 HOLLISTER AVE
Practice Address - Street 2:STE 195
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2341
Practice Address - Country:US
Practice Address - Phone:805-967-1359
Practice Address - Fax:805-683-3319
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-07
Last Update Date:2016-07-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA1425722086S0122X
NY2581872086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery