NPI 1093876138

Mark Conrad Stover, MD

Practitioner Emergency Medicine Physician Kotzebue, AK

Practice location

Address: 436 5th Ave, Kotzebue, AK 99752
Phone: (907) 442-7148
Mailing address: 705 N San Francisco St, Flagstaff, AZ 86001-3232

Registered specialties (2)

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence C55475 (CA)

Other Emergency Medicine providers in Alaska →

Emergency Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 04-34374 (KS)

Registry record

NPI: 1093876138
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Dec 2006
Record last updated: 17 Nov 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.