Individual
MARK JASON DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 473-1900
(251) 470-8943
Mailing address
2880 DAUPHIN ST, MOBILE, AL 36606-2457
(251) 473-1900
(251) 470-8943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
00020396
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00124755
—
MS
01
—
0810439
UNITED HEALTHCARE PROV #
AL
01
—
51502488
BLUE CROSS OF AL PROV #
AL
01
—
51505297
BLUE CROSS OF AL PROV #
AL
01
—
51506459
BLUE CROSS AL PROV #
AL
01
—
51506756
BLUE CROSS AL PROV #
AL
01
—
51506758
BLUE CROSS AL PROV #
AL
01
—
51531041
BLUE CROSS AL PROV #
AL
01
—
51536524
BLUE CROSS AL PROV #
AL
01
—
7070250
AETNA PROVIDER #
AL
01
—
H07553
HEALTHSPRING PROVIDER #
AL
Enumeration date
05/24/2005
Last updated
11/19/2007
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