Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK L DOUGLAS, DO
Active Sole ProprietorDR. MARK L DOUGLAS, DO is a Internal Medicine healthcare provider located in CROSS LANES, West Virginia. NPI 1306974464 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · CROSS LANES, WV
Registration Details
- NPI Number
- 1306974464
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2007 (19.468574113616 yrs)
- Last Updated
- Dec 31, 2012
- License
-
1390 (WV)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5098 WEST WASHINGTON STSTE 408CROSS LANES, WV, 253131419Browse WV providers · Browse ZIP 25313
- Phone
- 3047765594
- Fax
- 3047763521
- Primary Specialty
-
Internal Medicine
207R00000X
Other Internal Medicine Providers in CROSS LANES, WV
| Name | Credential | NPI |
|---|---|---|
| DR. ARVIND Z VIRADIA | MD | 1417947904 |
| DR. ASHISH SHETH | MD | 1487645073 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.