Mark Todd Roback, DO
Mark Todd Roback, DO is a Family Practice in Fortuna, California. Qualified in 2004, 22 years ago. Practices with Shasta Regional Medical Group Inc, a 34-clinician group and accepts Medicare assignment. Licensed in California and Kentucky.
- Years since qualifying
- 22
- Licensed in
- CA, KY
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- DO — Doctor of Osteopathic Medicine
- A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.
Practice location Address checks out
3304 Renner DrFortuna, CA 95540-7102
Phone: (707) 725-4477
Fax: (707) 725-9209
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 20A10324 (CA) |
|---|---|
| Family Medicine Physician | Taxonomy 207Q00000X · Licence R1153 (KY) |
Record details
| NPI number | 1801969829 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DO |
| Sole proprietor | No |
| NPI enumerated | November 16, 2006 |
| Last updated in NPPES | August 25, 2014 |
| Mailing address | 670 9th Street, Suite 203, Arcata, CA 95521-6249 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Shasta Regional Medical Group Inc — 34 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fortuna
-
Dr. Clifford Ray Jones, MD
3302 Renner Dr Ste A, Fortuna, CA 95540-7103 · (707) 725-3318
-
Lindsey Mendez, FNP
874 Main St, Fortuna, CA 95540-1926 · (707) 725-3334
-
Philip L Olkin, MD
3302 Renner Dr, Fortuna, CA 95540-3120 · (707) 725-3318
-
Philip L. Olkin, MD and C. Ray Jones, MD
3302 Renner Dr, Fortuna, CA 95540-3120 · (707) 725-3318