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Individual

MARIO CORDOVA MEJIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
92 N 4TH ST, SUITE 18, MARTINS FERRY, OH 43935-1691
(740) 633-4305
(740) 633-4178
Mailing address
2000 EOFF ST, WHEELING, WV 26003-3823
(304) 234-8663
(304) 234-8960

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35039407
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0049153000
WV
05
0330903
OH
01
110128188
RAILROAD MEDICARE
Enumeration date
09/06/2006
Last updated
05/26/2015
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