Individual
DR. MARK W KOVACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 BJC SAINT PETERS DR STE 200, SAINT PETERS, MO 63376-3386
(636) 916-9615
(636) 916-9850
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(636) 916-9615
(636) 916-9850
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036098054
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
159182
MT
207RC0001X
Clinical Cardiac Electrophysiology Physician
2025044853
MO
207RC0001X
Clinical Cardiac Electrophysiology Physician
C5035
KY
207RC0001X
Clinical Cardiac Electrophysiology Physician
V4257
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098054
—
IL
05
—
2416040
—
IA
01
—
P00062332
MEDICARE RAILROAD
—
Enumeration date
01/10/2006
Last updated
03/02/2026
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