Individual
DR. MARK JAMES TABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO/PHD
Contact information
Practice address
418 COOLIDGE AVENUE #42, HOLDEN, WV 25625-0082
(304) 792-0541
Mailing address
PO BOX 82, HOLDEN, WV 25625-0082
(304) 792-0541
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
—
WV
Other
Enumeration date
09/24/2020
Last updated
09/25/2020
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