Mark Mitchell Garskof, M.D.
Family Medicine in Lakeside, AZ. Individual provider (NPI-1).
NPI number1568445211
StatusActive
Last updated in NPPESMar 17, 2015
Details
- NPI
- 1568445211
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark Mitchell Garskof
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2005
- Last updated
- Mar 17, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 10885 | AZ | Yes |
Practice location
2963 W White Mountain BlvdLakeside, AZ 85929-6257
Phone 928-368-0765 · Fax 928-368-4540
Mailing address
2963 W White Mountain BlvdLakeside, AZ 85929-6257
Phone 928-368-0765 · Fax 928-368-4540
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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