Individual provider · NPI-1

Dr. Mark Kenneth Mcpherson, M.D.

Family Medicine · Fort Rucker, AL

NPI number1649228560
StatusActive
Last updated in NPPESAug 31, 2011

Details

NPI
1649228560
Entity type
Individual (NPI-1)
Name
Dr. Mark Kenneth Mcpherson
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 4, 2006
Last updated
Aug 31, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine043091GAYes
2083A0100X Preventive Medicine, Aerospace Medicine043091GA

Practice location

5700 Novosell
Usaama Rm220
Fort Rucker, AL 36330-5901

Phone 334-255-0750

Mailing address

203 E Morningview Dr
Enterprise, AL 36330-4166

Phone 703-725-8998

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