Individual
MARK W ALLEY
Active
Individual
MARK W ALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20227
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00013859
NHC CARE ADMIN.
—
05
—
005749221
—
VA
01
—
064423
ANTHEM BCBS
—
05
—
100011088
—
TN
01
—
3037574
BS OF TN
—
05
—
3061778
—
TN
05
—
5900346
—
NC
01
—
TN0100
JOHN DEERE
—
Enumeration date
07/19/2005
Last updated
04/07/2017
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