Individual
MARK D ALDOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1070 VINEHAVEN DRIVE, CONCORD, NC 28025
(704) 783-1840
(704) 783-1850
Mailing address
1070 VINEHAVEN DRIVE, CONCORD, NC 28025
(704) 783-1840
(704) 783-1850
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9800443
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
128WY
BLUE CROSS BLUE SHIELD
NC
05
—
89128WY
—
NC
Enumeration date
08/07/2006
Last updated
11/08/2007
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