Individual
MARK D REPLOEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1150
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD25737
OR
2084N0600X
Clinical Neurophysiology Physician
Primary
MD25737
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269755
—
OR
Enumeration date
05/09/2006
Last updated
10/17/2023
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