Individual
MARK CHRISTOPHER LINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1002 DIAMOND RDG, SUITE 200, JEFFERSON CITY, MO 65109-6896
(573) 632-5585
(573) 634-2978
Mailing address
999 DIAMOND RDG, SUITE 201, JEFFERSON CITY, MO 65109-6920
(573) 632-5585
(573) 635-0674
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
113486
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209709518
—
MO
01
—
P00322454
RAILROAD MEDICARE
MO
Enumeration date
06/08/2006
Last updated
02/10/2015
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