Individual
ZEV RANDY MAYCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
270 E STATE ST, SUITE G110, ALLIANCE, OH 44601-4957
(330) 829-0951
(330) 596-8696
Mailing address
270 E STATE ST, SUITE G110, ALLIANCE, OH 44601-4957
(330) 829-0951
(330) 596-8696
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35072264M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100011544
RAILROAD MEDICARE
—
05
—
2020888
—
OH
Enumeration date
01/22/2007
Last updated
03/07/2011
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