Ryan Mark, MD | |
18th Medical Group, Unit 5142, Apo, AP 96368 | |
(681) 342-3600 | |
Not Available |
Full Name | Ryan Mark |
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Gender | Male |
Speciality | Family Medicine - Sports Medicine |
Location | 18th Medical Group, Unit 5142, Apo, Armed Forces Pacific |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225483621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301116993 (Michigan) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | 4301116993 (Michigan) | Primary |
Entity Name | Florida Clinical Practice Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099 |
Mailing Address | Practice Location Address |
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Ryan Mark, MD Psc 80 Box 13462, Apo, AP 96367-0037 Ph: () - | Ryan Mark, MD 18th Medical Group, Unit 5142, Apo, AP 96368 Ph: (681) 342-3600 |
Danielle Dawn Acacio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Kunsan Ab, Apo, AP 96264 Phone: 315-782-2273 | |
Shelley Raska, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 518-630-4229 | |
Andrew Thomas Bushong, Family Medicine Medicare: Medicare Enrolled Practice Location: Unit 2022 Box 8th, Apo, AP 96264 Phone: 315-784-5227 | |
Akira Miyanari, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 098-960-4817 | |
Anil Rajan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18 Th Medical Group, Unit 5142, Apo, AP 96368 Phone: 630-960-4305 | |
Dr. Arthur New Lawrance Jr., DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Unit 5142 Box 18th, Apo, AP 96368 Phone: 315-630-0151 |