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Individual

DR. MARK H. KALENIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
520 JOHN D. ODOM RD., DOTHAN, AL 36303-9461
(334) 794-2718
(334) 671-1905
Mailing address
520 JOHN D. ODOM RD., DOTHAN, AL 36303-9461
(334) 794-2718
(334) 671-1905

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
AL16176
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051509093
AL
Enumeration date
08/09/2005
Last updated
02/01/2013
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