NPI 1720086861

Mark Alan Prevost, MD

Practitioner Orthopaedic Surgery Physician Jasper, AL

Practice location

Address: 2950 Highway 78 E, Jasper, AL 35501-8903
Phone: (205) 221-5374
Fax: (205) 385-0382

Registered specialties (2)

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 24066 (AL)

Other Orthopaedic Surgery providers in Alabama →

Orthopaedic Surgery of the Spine Physician

Allopathic & Osteopathic Physicians Taxonomy 207XS0117X Licence 24066 (AL)

Registry record

NPI: 1720086861
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jul 2005
Record last updated: 25 Oct 2023

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.