Individual
MARK R MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
927 BROADWAY ST, QUINCY, IL 62301-2719
(217) 214-3844
(217) 277-5585
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-8400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036151937
IL
207Y00000X
Otolaryngology Physician
43216
MN
Other
Enumeration date
04/07/2006
Last updated
07/03/2024
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