Individual
MARK ALLEN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7277 SMITHS MILL RD, SUITE#250, NEW ALBANY, OH 43054-8195
(614) 221-3725
(614) 221-5613
Mailing address
6480 HARRISON AVE STE 201, CINCINNATI, OH 45247-7961
(614) 221-3725
(614) 221-5613
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35080144
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285129
—
OH
Enumeration date
01/30/2007
Last updated
07/21/2023
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