Basic Information
Provider Information
NPI: 1568678894
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EPLER
FirstName: MARK
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 540 N DUKE ST
Address2: SUITE 110
City: LANCASTER
State: PA
PostalCode: 176022374
CountryCode: US
TelephoneNumber: 7175444995
FaxNumber: 7175444944
Practice Location
Address1: 540 N DUKE ST
Address2: SUITE 110
City: LANCASTER
State: PA
PostalCode: 176022374
CountryCode: US
TelephoneNumber: 7175444995
FaxNumber: 7175446577
Other Information
ProviderEnumerationDate: 05/15/2007
LastUpdateDate: 01/04/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208G00000XMD426401PAY Allopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery) 

No ID Information.


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