Mark L. Douglas, Do
NPI #1518163252 in Cross Lanes, West Virginia
Provider Information
- NPI Number
- 1518163252
- Entity Type
- Organization
- Organization Name
- Mark L. Douglas, Do
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jun 21, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 130 GOFF MOUNTAIN RD
- Address 2
- STE 12
- City
- Cross Lanes
- State
- West Virginia
- ZIP Code
- 25313-1419
- Phone
- (304) 776-5594
Authorized Official
- Name
- HILDA MAXWELL
- Title
- OFFICE MANAGER
- Phone
- (304) 776-5594
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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| DR. Mark L Douglas, DO |  AI Deep Dive |
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Organizations
| Provider Name | |
|---|---|
| Cross Lanes Internal Medicine Group INC | AI Deep Dive |
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