Individual
MARK NORMAN ANDERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA C
Contact information
Practice address
107 GOVERNORS DRIVE, HUNTSVILLE, AL 35801
(256) 535-2300
Mailing address
PO BOX 4799, HUNTSVILLE, AL 35815-4799
(256) 539-4545
(256) 539-4990
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 099
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02004
B CROSS
AL
Enumeration date
12/08/2005
Last updated
07/08/2007
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