Individual
DR. DAVID ANDREW MARK
Active
Individual
DR. DAVID ANDREW MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MED-PHYS-LIC-12540
MT
207R00000X
Internal Medicine Physician
12450
MT
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-12540
MT
208000000X
Pediatrics Physician
12450
MT
208000000X
Pediatrics Physician
MED-PHYS-LIC-12540
MT
Other
Enumeration date
01/08/2007
Last updated
07/27/2026
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