Mark Grogan Tusa MD

NPI 1033395074 - Dermatology - 207N00000X

NPI Details
NPI 1033395074
Gender Male
Enumeration Date 01/20/2008
Last Updated 11/23/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
409 W ADAMS AVE
TEMPLE TX, 76501-4211, US
Phone (254) 742-3775
Fax
Business Location
409 W ADAMS AVE
TEMPLE TX, 76501-4211, US
Phone (254) 742-3775
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Texas
License Number M8395
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According to our database, Dr. Mark Grogan Tusa MD NPI is 1033395074, taxonomy code is 207N00000X and license number is M8395, license state is located at Texas. Mark Grogan Tusa MD physically located at 409 W Adams Ave, Temple TX, 76501-4211. NPI Number Mark Grogan Tusa MD has the Individual type.

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1033395074 NPI number is provided on an as is basis without warranty of any kind. 1033395074 is maintained by the National Plan & Provider Enumeration System. The contents of Mark Grogan Tusa MD are for informational purposes only.