Individual
RUFUS J. MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
421 SOUTH MAIN STREET, CROSSVILLE, TN 38555-5048
(931) 456-8390
(931) 456-8389
Mailing address
PO BOX 24120, KNOXVILLE, TN 37933-2120
(865) 803-4321
(580) 250-5183
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
46094
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
688655
—
AZ
01
—
920006823
RAILROAD MEDICARE
TX
01
—
P00607340
RAILROAD MEDICARE
NM
05
—
Q090498
—
TN
Enumeration date
11/09/2005
Last updated
07/11/2024
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