Individual
MARK E MCGOVERN
Active
Individual
MARK E MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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