Mark L Douglas is a Internal Medicine Physician based in Cross Lanes, WV. Mark L Douglas practices in Cross Lanes, WV and has the professional credentials of DO. The NPI Number for Mark L Douglas is 1306974464 and holds a License No. 1390 (West Virginia).
The current practice location address for Mark L Douglas is 5098 West Washington St, Cross Lanes, WV and can be reached out via phone at 304-776-5594 and via fax at 304-776-3521.
Identifier | Type | State | Issuer |
---|---|---|---|
001722523 | 01 | WV | BLUE CROSS BLUE SHIELD |
0839644 | 01 | WV | MEDICARE PIN |
4333567 | 01 | WV | AETNA |
550773123 | 01 | WV | TAX ID |
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