Individual
JOSEPH R MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
269 PORTLAND WAY S, GALION, OH 44833-2312
(419) 462-4600
(419) 462-4609
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35049513M
OH
207RI0011X
Interventional Cardiology Physician
35049513
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0211510000
—
WV
05
—
0629029
—
OH
01
—
P01227144
RAILROAD MEDICARE - MMH
OH
Enumeration date
06/14/2005
Last updated
01/06/2021
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