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Individual
MARK ELLIOTT MCDANIEL
Active
Individual
MARK ELLIOTT MCDANIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1980
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WV1906A
MEDICARE
WV
01
—
WV1906B
MEDICARE
WV
Enumeration date
08/31/2006
Last updated
08/28/2025
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