DR. MARK EAVENSON, DC
Chiropractor
Active
Individual
NPI: 1629037536
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Chiropractor | 111N00000X | Yes | - |
Frequently Asked Questions
NPI 1629037536 is the National Provider Identifier for DR. MARK EAVENSON, DC, a Chiropractor provider located in Granite City, IL. This NPI was enumerated on March 20, 2006.
DR. MARK EAVENSON, DC practices at 3986 MARYVILLE RD, Granite City, IL 62040.
Quick Facts
- NPI
- 1629037536
- Type
- Individual
- Enumerated
- Mar 20, 2006
- Last Updated
- Jul 19, 2007
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