MEDICARE: MARK MCNAUGHTON JR. D.O.

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
1	207P00000X	Emergency Medicine Physician	OS021152	PA

General Provider Information

NPI Number	:	1245770684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARK MCNAUGHTON JR. D.O.

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 S 5TH AVE
Second Line	:
City	:	WEST READING
State	:	PA
Zip	:	19611-2143
Country	:	US
Telephone Number	:	484-628-6255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2017
Last Update Date	:	02/09/2026

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