Search › West Virginia › 207R00000X
Mark Douglas, DO
NPI 1306974464 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5098 West Washington St
Ste 408
Cross Lanes, WV 25313 - Phone
- (304) 776-5594
- Fax
- (304) 776-3521
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- WV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-12-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia