Mark R. Gazall, D.o., LLC

NPI #1174561872 in Breaver Creek, Ohio

Provider Information

NPI Number: 1174561872
Entity Type: Organization
Organization Name: Mark R. Gazall, D.o., LLC
Primary Specialty: Surgery
Enumeration Date: Jun 3, 2006
Last Updated: Aug 30, 2012

Practice Location

Address: 2141 N. FAIRFIELD RD,
Address 2: SUITE B.
City: Breaver Creek
State: Ohio
ZIP Code: 45431-2579
Phone: (937) 458-0085

Authorized Official

Name: SCOTT E STEINER, RT(R)(ARRT)
Title: ASSISTANT.
Phone: (937) 458-0085

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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