Individual
MR. MARK FRANKLIN STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1120 AIRPORT DR, STE 103, ALEXANDER CITY, AL 35010-3444
(256) 329-8180
(256) 329-8116
Mailing address
1594 BERI BARFIELD DR, DADEVILLE, AL 36853-4808
(256) 285-7456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH 1013
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-77002
BCBS
AL
Enumeration date
07/05/2005
Last updated
04/22/2008
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