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Individual

DR. MARK ALAN SPIKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
304 MASONIC AVE, PENNSBORO, WV 26415
(304) 659-2585
(304) 659-2593
Mailing address
304 MASONIC AVE, PENNSBORO, WV 26415
(304) 659-2585
(304) 659-2593

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2413
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0136425000
WV
Enumeration date
10/02/2006
Last updated
03/07/2023
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