Provider Demographics
NPI:1588925861
Name:TING, MARK BRYAN GO (MD)
Entity type:Individual
Prefix:
First Name:MARK BRYAN
Middle Name:GO
Last Name:TING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1060 W SIERRA AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-2063
Mailing Address - Country:US
Mailing Address - Phone:559-437-1111
Mailing Address - Fax:559-437-1118
Practice Address - Street 1:1060 W SIERRA AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93711-2063
Practice Address - Country:US
Practice Address - Phone:559-437-1111
Practice Address - Fax:559-437-1118
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2015-11-19
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Provider Licenses
StateLicense IDTaxonomies
CAA1315962084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry