Dr. Mark Richard Gazall, D.O.
Surgery in Columbus, OH. Individual provider (NPI-1).
NPI number1124068622
StatusActive
Last updated in NPPESJul 11, 2022
Details
- NPI
- 1124068622
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Richard Gazall
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2006
- Certification date
- Jul 11, 2022
- Last updated
- Jul 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 34-005012 | OH | Yes |
Practice location
6503 E Broad St Ste 200Columbus, OH 43213-1693
Phone 614-810-1300 · Fax 614-614-1301
Mailing address
2141 N. Fairfield RdSuite B.
Breaver Creek, OH 45431-2579
Phone 937-458-0085 · Fax 937-458-0212
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