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Individual

DR. MARK KENNETH MCPHERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5700 NOVOSELL, USAAMA RM220, FORT RUCKER, AL 36330-5901
(334) 255-0750
Mailing address
203 E MORNINGVIEW DR, ENTERPRISE, AL 36330-4166
(703) 725-8998

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
043091
GA
2083A0100X
Aerospace Medicine Physician
043091
GA

Other

Enumeration date
05/04/2006
Last updated
08/31/2011
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