Organization
MARK BYRGE DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK W BYRGE D.O. (PRESIDENT)
(330) 475-1616
Entity
Organization
Contact information
Practice address
201 5TH ST NE, SUITE 8, BARBERTON, OH 44203-3017
(330) 475-1616
(330) 475-1617
Mailing address
201 5TH ST NE, SUITE 8, BARBERTON, OH 44203-3017
(330) 475-1616
(330) 475-1617
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
34006236B
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2225238
—
OH
Enumeration date
01/31/2007
Last updated
08/22/2020
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