| Doctor Name: | MARK CHRISTOPHER LINK |
| NPI Number: | 1679514293 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 113486 |
| Business Practice Address: | 1002 Diamond Rdg Suite 200 Jefferson City, MO - 651096896 |
| Business Phone Number: | 5736325585 |
| Business Fax Number: | 5736342978 |
| Mailing Address: | 999 Diamond Rdg, Suite 201 JEFFERSON CITY |
| State: | MO |
| Postal Code: | 651096920 |
| Phone Number: | 5736325585 |
| Fax Number: | 5736350674 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 02/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 113486 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |