Individual
MARY ELIZABETH MUDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 COOPER ROAD, SUITE 800, WESTERVILLE, OH 43081
(614) 890-1635
(614) 890-1677
Mailing address
37 WEST BROADWAY, WESTERVILLE, OH 43081
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35051008M
OH
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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