Individual
DR. MARK SLABAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 539-2227
(410) 539-2240
Mailing address
4102 PINION DR, USAF ACADEMY, CO 80840-2502
(719) 333-5040
(719) 333-5868
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
036-120693
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633878
BCBS
IL
Enumeration date
06/26/2006
Last updated
04/02/2021
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