Individual
DR. MARK A MEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
602 PARMALEE AVE, SUITE 300, YOUNGSTOWN, OH 44510-1653
(330) 744-2272
Mailing address
602 PARMALEE AVE, SUITE 300, YOUNGSTOWN, OH 44510-1653
(330) 744-2272
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
8764
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2727839
—
OH
01
—
ME4207851
MEDICARE ID-UNSPECIFIED
OH
Enumeration date
02/12/2007
Last updated
04/09/2008
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