Stacey Mardis, M.D.

NPI #1144532730 in Elyria, Ohio

Provider Information

NPI Number: 1144532730
Entity Type: Individual
Name: Stacey Mardis, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Jul 12, 2010
Last Updated: Jul 1, 2013

Practice Location

Address: 630 E RIVER ST
Address 2: DEPARTMENT OF EMERGENCY MEDICINE
City: Elyria
State: Ohio
ZIP Code: 44035-5902
Phone: (440) 329-7450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary
Family Medicine	207Q00000X

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