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NPI Code Detail

MEDICARE: MARK ARMSTRONG MD

MEDICARE:   MARK  ARMSTRONG  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistMD0000027706TN
2207L00000XAnesthesiology PhysicianMD0000027706TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14032315OTHERTNBLUE SHIELD TN PROVIDER #

General Provider Information

NPI Number : 1609828433
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK ARMSTRONG MD
Provider Business Mailing Address
First Line : PO BOX 1000 DEPT 590
Second Line :
City : MEMPHIS
State : TN
Zip : 38148-0001
Country : US
Telephone Number : 901-382-1200
Fax Number : 901-382-8070
Provider Business Practice Location Address
First Line : 1722 E REELFOOT AVE
Second Line : SUITE 1
City : UNION CITY
State : TN
Zip : 38261-6050
Country : US
Telephone Number : 731-885-6300
Fax Number : 731-885-6386
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2006
Last Update Date : 09/17/2009

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Directions to “ MARK ARMSTRONG MD” Practice Location

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