Provider Demographics
NPI:1912158924
Name:MARK E. READER
Entity Type:Organization
Organization Name:MARK E. READER
Other - Org Name:MARK E. READER, D.O.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:READER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:559-791-1779
Mailing Address - Street 1:390 PEARSON DR
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-3368
Mailing Address - Country:US
Mailing Address - Phone:559-791-1779
Mailing Address - Fax:559-791-9353
Practice Address - Street 1:390 PEARSON DR
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257-3368
Practice Address - Country:US
Practice Address - Phone:559-791-1779
Practice Address - Fax:559-791-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech