# DR. MARK FLOYD ADDERLEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114149903
- **Gender:** Man
- **Credential:** D.O.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2007032281 | MO | Yes |
| 208D00000X | General Practice Physician | 2007032281 | MO | — |

## Other

- **Enumeration date:** 05/03/2007
- **Last updated:** 06/12/2024
