Individual
DR. MARK NGU AWANTANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 522-4263
(850) 785-9681
Mailing address
1827 HARRISON AVE, PANAMA CITY, FL 32405-7605
(850) 522-4263
(850) 785-9681
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ME112162
FL
207XS0106X
Orthopaedic Hand Surgery Physician
ME112162
FL
Other
Enumeration date
04/20/2007
Last updated
06/27/2012
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