DR. Mark L Douglas, DO
NPI #1306974464 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1306974464
- Entity Type
- Individual
- Name
- DR. Mark L Douglas, DO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Internal Medicine
- Credential
- DO
- Enumeration Date
- Mar 1, 2007
- Last Updated
- Dec 31, 2012
Practice Location
- Address
- 5098 WEST WASHINGTON ST
- Address 2
- STE 408
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1419
- Phone
- (304) 776-5594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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Organizations
| Provider Name | |
|---|---|
| Mark L. Douglas, Do | AI Deep Dive |
| Cross Lanes Internal Medicine Group INC | AI Deep Dive |
| Wv Primary Care INC | AI Deep Dive |
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