Individual
DR. MARK ALFRED ENDERLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 E WOODROW WILSON AVE, THIRD FLOOR SUITE A, JACKSON, MS 39216-5100
(601) 364-7861
Mailing address
620 HIGHLEADON PL, MADISON, MS 39110-7655
(601) 421-3671
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N-6348
AR
Other
Enumeration date
06/20/2006
Last updated
07/08/2007
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