Individual
MARK R CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1613 N MCKENZIE ST, FOLEY, AL 36535-2247
(251) 476-5443
(251) 476-0116
Mailing address
PO BOX 7866, MOBILE, AL 36670-0866
(251) 476-5443
(251) 476-0116
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
24737
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936421
—
AL
05
—
009936422
—
AL
05
—
009936423
—
AL
05
—
009936424
—
AL
05
—
009936426
—
AL
01
—
51003530
BC GREYSTONE
AL
01
—
51003532
BC MONTCLAIR
AL
01
—
51003538
BC SHELBY
AL
01
—
51003539
BC 280
AL
01
—
51003540
BC SYLACAUGA
AL
Enumeration date
04/28/2006
Last updated
12/15/2010
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