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NPI 1104133438

IndividualActive

Mark Ashbaker

NPI 1104133438 · Technician/Technologist · Ft Leonard Wood, MO

Provider details

NPI number: 1104133438
Entity type: Individual
Primary specialty: Technician/TechnologistEye and Vision Services Providers
Sex: Male
Sole proprietor: No

Practice location

126 Missouri Avenue

Ft Leonard Wood, MO 65473

Phone: (573) 596-0048

More MO providers

Mailing address

28665 Highway Ab

Richland, MO 65556-7463

Registry dates

Enumerated: 2010-09-08
Last updated: 2010-09-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Mark Ashbaker — NPI 1104133438, Ft Leonard Wood, MO | NPI Central