Individual
MARCO PAUL JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
Mailing address
8323 N PALMYRA RD, CANFIELD, OH 44406-9790
(330) 774-8334
Taxonomy
Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
Primary
RN.476931
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
4056969
KY
Other
Enumeration date
07/23/2024
Last updated
05/16/2026
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