Individual
DR. MARK RICHARD GAZALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6503 E BROAD ST STE 200, COLUMBUS, OH 43213-1693
(614) 810-1300
(614) 614-1301
Mailing address
2141 N. FAIRFIELD RD, SUITE B., BREAVER CREEK, OH 45431-2579
(937) 458-0085
(937) 458-0212
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
34-005012
OH
Other
Enumeration date
06/07/2006
Last updated
07/11/2022
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