Individual
MR. MARK DUANE ASHBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
126 MISSOURI AVENUE, FT LEONARD WOOD, MO 65473
(573) 596-0048
Mailing address
28665 HIGHWAY AB, RICHLAND, MO 65556-7463
(757) 525-0501
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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