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Individual

DR. MARK T GABR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
180 RAMSGATE SQ S, SUITE# 150, SALEM, OR 97302-5864
(503) 485-0672
(503) 485-0673
Mailing address
180 RAMSGATE SQ. SE, SUITE# 150, SALEM, OR 97302-5867
(503) 485-0672
(503) 485-0673

Taxonomy

Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
MD15099
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
127027
OR
Enumeration date
09/13/2006
Last updated
07/08/2007
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