Individual
MARIO O BRUNICARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 OHIOHEALTH WAY FL 2, ASHLAND, OH 44805-9253
(567) 309-6560
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-070975
OH
Other
Enumeration date
06/07/2006
Last updated
03/21/2022
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