Individual
DR. MARY K. HEPHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
7689 SAGAMORE HILLS BLVD, SAGAMORE HILLS, OH 44067-2960
(330) 467-8101
(330) 468-3948
Mailing address
7689 SAGAMORE HILLS BLVD, SAGAMORE HILLS, OH 44067-2960
(330) 467-8101
(330) 468-3948
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34-00-4815
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0786403
—
OH
Enumeration date
01/06/2006
Last updated
04/14/2010
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