NPI 1104133438

Mark Duane Ashbaker

Practitioner Technician/Technologist Ft Leonard Wood, MO

Practice location

Address: 126 Missouri Avenue, Ft Leonard Wood, MO 65473
Phone: (573) 596-0048
Mailing address: 28665 Highway Ab, Richland, MO 65556-7463

Registered specialties

Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156F00000X

Other Technician/Technologist providers in Missouri →

Registry record

NPI: 1104133438
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Sep 2010
Record last updated: 8 Sep 2010

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.