Individual
DR. MARK JOSEPH MEDLEY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
USA MEDDAC FORT DRUM, 11050 MT. BELVEDERE BLVD., FORT DRUM, NY 13602
(315) 772-2778
Mailing address
USA MEDDAC FORT DRUM, 11050 MT. BELVEDERE BLVD., FORT DRUM, NY 13602
(157) 722-7783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2987
TN
Other
Enumeration date
07/22/2011
Last updated
07/25/2023
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