Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 35097335 | OH |
NPI | 1003000704 |
---|---|
Provider Name | Zachary Mark Gatton |
First Address | Mount Vernon, OH 43050-1440 |
Second Address | Mount Vernon, OH 43050-1440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2007 |
Last Update Date | 16/09/2011 |