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Individual

MR. MARK KEVIN PEEBLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
608 NW 7TH ST, POCAHONTAS, IA 50574-1000
(800) 453-3030
Mailing address
RR 62 BOX 235, MANSFIELD, MO 65704-9505
(417) 543-6703

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1629
OK
363A00000X
Physician Assistant
Primary
2011011364
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1076290
BOARD CERTIFICATION
MO
01
26D0889777
CLIA
MO
05
PENDING
MO
Enumeration date
05/23/2007
Last updated
05/04/2026
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