Organization
MARK R. GAZALL, D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT E STEINER RT(R)(ARRT) (ASSISTANT.)
(937) 458-0085
Entity
Organization
Contact information
Practice address
2141 N. FAIRFIELD RD,, SUITE B., BREAVER CREEK, OH 45431-2579
(937) 458-0085
(937) 458-0212
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
06/03/2006
Last updated
08/30/2012
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