Individual
DR. MARK ALLEN MINGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
279343
NY
207U00000X
Nuclear Medicine Physician
MD439162
PA
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
MD439162
PA
2085R0202X
Diagnostic Radiology Physician
279343
NY
2085R0202X
Diagnostic Radiology Physician
Primary
MD439162
PA
Other
Enumeration date
12/27/2006
Last updated
03/12/2021
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