Individual
MARK RICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD/PHD
Contact information
Practice address
4100 W THIRD STREET, DAYTON VA MEDICAL CENTER, DAYTON, OH 45428
(937) 268-6511
Mailing address
1029 E HYDE RD, YELLOW SPRINGS, OH 45387-8789
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
087197
OH
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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