Individual
MARK H AMOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4824 E BASELINE RD, SUITE 132, MESA, AZ 85206-4676
(480) 351-8222
(480) 351-8221
Mailing address
4824 E BASELINE RD, SUITE 132, MESA, AZ 85206-4676
(480) 351-8222
(480) 351-8221
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
47602
MN
207VX0000X
Obstetrics Physician
47602
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
998170500
—
MN
Enumeration date
01/19/2006
Last updated
06/04/2014
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