Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARK DOUGLAS FOX, MD
ActiveMARK DOUGLAS FOX, MD is a Public Health & General Preventive Medicine healthcare provider located in SOUTH BEND, Indiana. NPI 1447220843 is currently active in the NPPES registry. Verify at CMS.
Public Health & General Preventive Medicine · SOUTH BEND, IN
Registration Details
- NPI Number
- 1447220843
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2006 (20.564281268464 yrs)
- Last Updated
- Oct 21, 2019
- Licenses
-
23209 (OK)01075847A (IN)23209 (OK)01075847A (IN)01075847A (IN)
Practice Information
- Address
-
1234 N NOTRE DAME AVESOUTH BEND, IN, 466171404Browse IN providers · Browse ZIP 46617
- Phone
- 5746311337
- Fax
- 5746318932
- Primary Specialty
-
Public Health & General Preventive Medicine
2083P0901X
- Additional Specialty
- Internal Medicine
- Additional Specialty
- Pediatrics
- Additional Specialty
- Pediatrics
- Additional Specialty
- Public Health & General Preventive Medicine
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.