Individual
MARK IRVING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
220 E WALNUT ST, LANCASTER, OH 43130-4464
(740) 277-6043
Mailing address
220 E WALNUT ST, LANCASTER, OH 43130-4464
(740) 277-6043
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.001107
OH
Other
Enumeration date
12/14/2013
Last updated
02/12/2024
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