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Contact Information

RUFUS J MARK
421 SOUTH MAIN STREET
CROSSVILLE, TN38555-5048
 Phone: 931-456-8390
 Fax: 931-456-8389
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for RUFUS J MARK · (Male)

NPI # 1992786628
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2005
Last updated 07/11/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AZ License # 46094
  • AZ Medicaid 688655
  • TN Medicaid Q090498
  • NM Other P00607340 RAILROAD MEDICARE
  • TX Other 920006823 RAILROAD MEDICARE
Hospital affiliation(s)
  • COMANCHE COUNTY MEMORIAL HOSPITAL - (Acute Care)
    3401 WEST GORE BLVD
    LAWTON, OK 73505
  • JACKSON COUNTY MEMORIAL HOSPITAL - (Acute Care)
    1200 EAST PECAN ST
    ALTUS, OK 73523
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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