Organization
MASK ANESTHESIA CONSULTANTS INC
Active
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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