Individual
DR. ALEXIS D PARKS MYTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
235 W NATIONAL RD., VANDALIA, OH 45377-9725
(937) 898-3600
(937) 898-2731
Mailing address
235 W NATIONAL RD., VANDALIA, OH 45377-1969
(937) 898-3600
(937) 898-2731
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067512
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0989793
—
OH
01
—
35067512
OHIO MEDICAL LICENSE
OH
Enumeration date
08/09/2006
Last updated
06/30/2023
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