Individual
MARK A TRUAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N LEBANON ST, JAMESTOWN, IN 46147-9372
(765) 676-5754
(765) 676-9853
Mailing address
2705 N LEBANON ST STE 305, LEBANON, IN 46052-8622
(765) 485-8852
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01032015
IN
207Q00000X
Family Medicine Physician
Primary
01032015A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100324100
—
IN
Enumeration date
06/21/2006
Last updated
04/15/2021
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