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Organization

MASK ANESTHESIA CONSULTANTS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK W STANLEY D.O. (PRESIDENT)
(614) 751-4466
Entity
Organization

Contact information

Practice address
275 TAYLOR STATION RD, COLUMBUS, OH 43213-1445
(614) 751-4466
(614) 751-4474
Mailing address
PO BOX 713960, CINCINNATI, OH 45271-3960
(614) 751-4466
(614) 751-4474

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
201412900247
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201412900247
STATE OF OHIO CERTIFICATE
OH
Enumeration date
05/29/2014
Last updated
05/17/2019
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