Individual
MARK JAMES JAMESON
Active
Individual
MARK JAMES JAMESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
0101241309
VA
207Y00000X
Otolaryngology Physician
Primary
13192
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487819
—
IA
05
—
1073564993
—
VA
01
—
20003
WELLMARK BCBS
IA
01
—
P00347197
MEDICARE RAILROAD
IA
Enumeration date
05/15/2006
Last updated
02/01/2022
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