Individual
DR. MICHAEL ALAN MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 LANGDON ST, SOMERSET, KY 42503-2750
(606) 679-7441
(606) 678-9919
Mailing address
PO BOX 3176, WEST SOMERSET, KY 42564-3176
(606) 678-9105
(606) 678-2296
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31270
TN
2085R0202X
Diagnostic Radiology Physician
35901
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3837361
—
TN
Enumeration date
01/11/2006
Last updated
08/04/2008
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