Ediger, Mark Alan

Ediger, Mark Alan is an individual health care provider with primary practice located at 435 Mdg Unit 3215, Apo AE 09094. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Aerospace Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ediger, Mark Alan can be contacted via phone 01149637146.

Contact Information

Primary practice address
435 Mdg Unit 3215 Apo AE 09094
Phone: 01149637146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R4B63 Missouri
Allopathic & Osteopathic Physicians / Aerospace Medicine 2083A0100X R4B63 Missouri

Profile Details

NPI number 1972594075
LBN Legal business name Ediger, Mark Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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