Male or Other

Mark R. Mccutcheon MD

Family Medicine Physician in Mobile, AL(View on Map)

Full Name

Mark R. Mccutcheon MD

NPI Number

1356394837

NPI Type

Individual Provider

Gender

Male

Enumeration Date

05/18/2006

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Alabama

License Number

11316

Contact
Information

Purpose

Mailing
Location

Address

410 WEST CLINTON STREET
5100 RANGELINE SERVICE RD N

City

Jackson
Mobile

State

AL
AL

Postal Code

36545-2623
36619-9504

Country

US
US

Telephone Number

(251) 246-2350
(251) 378-4000

Identifiers

Identifier

C78586

Identifier State

AL

Identifier Issuer

UPIN

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/10/2007

Provider Address

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