Individual
DR. JONATHAN B MARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 FULTON STREET, VA MEDICAL CENTER, DURHAM, NC 27705
(919) 286-6938
(919) 286-6853
Mailing address
14 MAYAPPLE PL, DURHAM, NC 27705-1953
(919) 383-0981
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
18451
NC
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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