Individual
DR. MYRA JOSEPHINE MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 GRANGER RD, AKRON, OH 44333-1538
(330) 666-3400
Mailing address
1001 LAKESIDE AVE E, #1200, CLEVELAND, OH 44114-1158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-075527
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2189448
—
OH
Enumeration date
08/24/2006
Last updated
12/17/2020
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