Individual
MR. MARK F SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
#3 STONECREST DR, HUNTINGTON, WV 25701
(304) 522-6388
(304) 522-8040
Mailing address
2585 3RD AVE, HUNTINGTON, WV 25703-1642
(304) 697-1396
(304) 697-2086
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
19499
WV
207Y00000X
Otolaryngology Physician
350788785
OH
207Y00000X
Otolaryngology Physician
37594
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0101257000
—
WV
05
—
2091909
—
OH
05
—
64942527
—
KY
Enumeration date
03/02/2006
Last updated
07/25/2016
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