Individual
MARK A MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
23 CROSSROADS DR, SUITE 400, OWINGS MILLS, MD 21117-5420
(410) 356-2626
(410) 356-8945
Mailing address
23 CROSSROADS DR, S. 400, OWINGS MILLS, MD 21117-5420
(410) 356-2626
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D36069
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
484391600
—
MD
Enumeration date
11/01/2006
Last updated
07/25/2008
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