Individual
DR. MARK CALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7690 DISCOVERY DR, WEST CHESTER, OH 45069-6542
(513) 475-8730
(513) 475-7257
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35 126036
OH
2084N0400X
Neurology Physician
R2715
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2011
Last updated
08/23/2017
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