Mark Tatum, CAA

NPI #1396389755 in Canton, Ohio

Provider Information

NPI Number: 1396389755
Entity Type: Individual
Name: Mark Tatum, CAA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiologist Assistant
Credential: CAA
Enumeration Date: Oct 29, 2019
Last Updated: Mar 8, 2021

Practice Location

Address: 1320 MERCY DR NW
City: Canton
State: Ohio
ZIP Code: 44708-2641
Phone: (330) 489-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiologist Assistant	367H00000X	Primary

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