Individual
DR. MICHELLE ALICIA MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
10001 S EASTERN AVE STE 101, HENDERSON, NV 89052-3908
(702) 616-5870
(702) 616-5895
Mailing address
PO BOX 33269, PHOENIX, AZ 85067-3269
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO2189
NV
Other
Enumeration date
04/29/2014
Last updated
10/30/2024
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