Individual
MARK CONN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
(513) 475-6475
Mailing address
3200 VINE ST, CINCINNATI, OH 45220-2213
(513) 861-3100
(513) 475-6475
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2013003060
OH
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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