Individual
MARK TATUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2641
(330) 489-1000
Mailing address
354 W MOHAWK DR, MALVERN, OH 44644-9627
(724) 601-1720
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
03/08/2021
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