Organization
MARK S. SOUDER, M.D.
Active
Other names
Comprehensive Medical Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK STEVEN SOUDER MD (OWNER)
(260) 925-0305
Entity
Organization
Contact information
Practice address
1310 E 7TH ST, STE J, AUBURN, IN 46706-2534
(260) 925-0305
Mailing address
1310 E 7TH ST, STE J, AUBURN, IN 46706-2534
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200409320A
—
IN
Enumeration date
10/31/2007
Last updated
02/12/2020
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