Individual
MARK E MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7400 JAGER CT, CINCINNATI, OH 45230-4344
(513) 232-8100
(513) 232-3875
Mailing address
7400 JAGER CT, CINCINNATI, OH 45230-4344
(513) 232-8100
(513) 232-3875
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35035891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007478
ANTHEM BC/BS
OH
05
—
0224911
—
OH
01
—
0635117
AETNA
OH
01
—
1220467
UNITED HEALTHCARE
OH
01
—
3589101
HUMANA
OH
Enumeration date
02/10/2006
Last updated
04/27/2011
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