Organization Name: | NEAL A MARKS DPM INC |
NPI Number: | 1003981820 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NEAL A MARKS (PRESIDENT) |
Mailing Address: | 4338 Mayfield Rd South Euclid |
State: | OH US |
Postal Code: | 441213632 |
Phone Number: | 2163813600 |
Fax Number: | 2163815981 |
NPI Enumeration Date: | 11/21/2006 |
NPI Last Update Date: | 12/11/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 826250 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |