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MARK A ISAACS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1600 CARRAWAY BLVD, BIRMINGHAM, AL 35234-1913
(205) 502-6000
(205) 502-5720
Mailing address
PO BOX 830469, MSC 511, BIRMINGHAM, AL 35283-0469
(205) 979-5882
(205) 979-1248

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-074501
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51528684
BC/BS
AL
Enumeration date
10/26/2006
Last updated
07/08/2007
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