Individual
MARK DAVID EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247
(251) 949-3710
(251) 949-3715
Mailing address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247
(251) 949-3710
(251) 949-3715
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
DO.1318
AL
207RP1001X
Pulmonary Disease Physician
Primary
DO.1318
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148106
—
AL
05
—
5279713
—
MS
05
—
7100684480
—
KY
Enumeration date
04/19/2006
Last updated
08/05/2022
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