Individual
MARK TERENCE PUA MUJER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1211 MEDICAL CENTER DR, NASHVILLE, TN 37232-3328
(615) 322-5000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301112428
MI
207RC0000X
Cardiovascular Disease Physician
036.156217
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
036156217
IL
Other
Enumeration date
07/31/2017
Last updated
06/20/2024
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