Mark C Gottron D.O.

NPI 1093713968 - Family Medicine - 207Q00000X

NPI Details
NPI 1093713968
Gender Male
Enumeration Date 07/13/2005
Last Updated 08/02/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
905 SPRUCE ST
SUITE 201
IRWIN PA, 15642-3683, US
Phone (724) 864-9595
Fax (724) 864-9860
Business Location
905 SPRUCE ST
SUITE 201
IRWIN PA, 15642-3683, US
Phone (724) 864-9595
Fax (724) 864-9860
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number OS009999L
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According to our database, Dr. Mark C Gottron D.O. NPI is 1093713968, taxonomy code is 207Q00000X and license number is OS009999L, license state is located at Pennsylvania. Mark C Gottron D.O. physically located at 905 Spruce St, Irwin PA, 15642-3683. NPI Number Mark C Gottron D.O. has the Individual type.

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1093713968 NPI number is provided on an as is basis without warranty of any kind. 1093713968 is maintained by the National Plan & Provider Enumeration System. The contents of Mark C Gottron D.O. are for informational purposes only.