Individual
DR. ARTURO P. MIRASOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 GYPSY LN, YOUNGSTOWN, OH 44504-1315
(330) 884-1000
Mailing address
1521 BARBIE DR, YOUNGSTOWN, OH 44512-3758
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
35039554
OH
207P00000X
Emergency Medicine Physician
Primary
35.039554
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0673178
—
OH
01
—
930008704
MEDICARE RR-GA
OH
01
—
942460636121
CARESOURCE
OH
Enumeration date
07/17/2006
Last updated
07/08/2016
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