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Individual

MARK G. CHRISTOPHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
500 BURLINGTON RD, JACKSON, OH 45640-9360
(855) 446-5387
(740) 446-5573
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 441-1934
(740) 446-5486

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-04-9998
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000007341
ANTHEM BCBS
01
000000185259
UNISON MEDICAID
OH
01
001714038
MOUNTAIN STATE BCBS
05
0084269000
WV
01
0554672
MOLINA MEDICAID
OH
01
100004591
RR MEDICARE
01
1699729913
NPI
01
310917085117
CARESOURCE MEDICAID
OH
Enumeration date
05/20/2006
Last updated
01/20/2021
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