Individual
DR. MARK JOHN PIACENTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 E WATER ST, PROSPECT, OH 43342
(740) 494-2624
(740) 494-9013
Mailing address
102 E WATER ST, PROSPECT, OH 43342
(740) 494-2624
(740) 494-9013
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
35054820P
OH
207Q00000X
Family Medicine Physician
Primary
35054820
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0669174
—
OH
Enumeration date
07/31/2006
Last updated
04/18/2025
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