Individual
DR. MEDFORD BENNY MASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-2199
(330) 480-2071
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-2199
(330) 480-2071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35075832
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
35.075832
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2194889
—
OH
Enumeration date
04/05/2006
Last updated
12/28/2016
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