Mark Godiksen
Mark Godiksen is a Non-Pharmacy Dispensing Site in Clovis, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
688 Medical Center Dr E Ste 106Clovis, CA 93611-6807
Phone: (559) 297-8604
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-Pharmacy Dispensing Site (primary) | Taxonomy 332900000X · Licence A43850 (CA) |
|---|
Record details
| NPI number | 1760725758 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Medvantx, Inc |
| Authorized official | Kenny Heine — Vp Of Operations · (858) 964-1506 |
| Other names | Office Of Mark V. Godiksen |
| NPI enumerated | March 28, 2013 |
| Last updated in NPPES | March 28, 2013 |
| Mailing address | 5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705 |
Other providers in Clovis
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Dehesa Dermatology Inc
978 N Temperance Ave, Clovis, CA 93611-8606 · (559) 951-9000
-
G & J Roth Professional Corp
255 W Bullard Ave 102, Clovis, CA 93612-0861 · (559) 299-2128