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Organization
MARK J MAZUR DPM
Active
Organization
MARK J MAZUR DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK J MAZUR DPM (DPM/OWNER)
(614) 793-0120
Entity
Organization
Contact information
Practice address
6942 AVERY RD., DUBLIN, OH 43017-2874
(614) 793-0120
(614) 793-0120
Mailing address
6942 AVERY RD., DUBLIN, OH 43017-2874
(614) 793-0120
(614) 793-0120
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003150
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2326450
—
OH
01
—
480033771
RAILROAD MEDICARE
OH
01
—
DG1891
RAILROAD MEDICARE
OH
Enumeration date
10/12/2007
Last updated
08/25/2011
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