Individual
MARK R CONNELL
Active
Individual
MARK R CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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