Individual provider · Type 1 NPI

Mark Alan Victor, DO

General Practice Physician · Iron Mountain, MI

NPI number 1194740175 Active

About NPI 1194740175

Mark Alan Victor, DO's National Provider Identifier is 1194740175, issued on Jul 12, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Iron Mountain, MI. The record was last updated on Jul 27, 2009.