Individual
MR. CHRISTOPHER BENNETT MCGURK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
464 ZAHN DR APT 3, AKRON, OH 44313-5556
(330) 329-5815
Mailing address
254 HOMEWOOD AVE, AKRON, OH 44312-1217
(330) 907-4315
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0168567
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
910000561905
—
OH
Enumeration date
10/03/2016
Last updated
10/03/2016
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