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Individual

DR. MARK ANDREW ALDAPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 SUNSET DR, SUITE A, LA GRANDE, OR 97850-1260
(541) 963-8911
(541) 962-7110
Mailing address
PO BOX 1049, PENDLETON, OR 97801-0050
(541) 966-1184
(541) 278-9365

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD18908
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
092798
OR
01
220024158
RR MEDICARE
Enumeration date
04/21/2006
Last updated
02/04/2022
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