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Mark Alan Fierro

Obstetrics & Gynecology

Allopathic & Osteopathic Physicians

15251 National Ave, Suite 106, Los Gatos, CA 95032-2400

PECOS Enrollment

This provider is enrolled in PECOS as MARK FIERRO.

Based on the most recent information from CMS, provider Mark Alan Fierro is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 11:51 AM.

Profile Details

Provider ID
1114155496
Provider Type
Individual
Full Name
Fierro, Mark Alan
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/25/2009
Last Updated
8/11/2013

Contact Information

Practice Location

15251 National Ave, Suite 106, Los Gatos, CA 95032-2400

(408) 356-5111

(408) 356-0654

Mailing Location

15251 National Ave, Suite 106, Los Gatos, CA 95032-2400

(408) 356-5111

(408) 356-0654

Provider Taxonomies

Code	Description	License
Code 207V00000X Primary	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License A124997 California
Code 207V00000X	Description Obstetrics & Gynecology Allopathic & Osteopathic Physicians	License 2009015668 Missouri

Mark Alan Fierro

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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