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NPI Code Detail

MEDICARE: DR. MARK T RORRER D.O.

MEDICARE: DR. MARK T RORRER D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34007087OH
2207Q00000XFamily Medicine Physician03040KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10887136OTHEROHMEDICARE ID-TYPE UNSPECIFIED
49358391OTHEROHMEDICARE ID-TYPE UNSPECIFIED

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851396659
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARK T RORRER D.O.
Provider Business Mailing Address
First Line : 8120 GARNET DR
Second Line :
City : DAYTON
State : OH
Zip : 45458-2141
Country : US
Telephone Number : 937-272-1631
Fax Number :
Provider Business Practice Location Address
First Line : 3033 KETTERING BLVD
Second Line : SUITE 100
City : MORAINE
State : OH
Zip : 45439-1962
Country : US
Telephone Number : 937-293-2133
Fax Number : 937-293-2161
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 02/05/2013

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Directions to “ DR. MARK T RORRER D.O.” Practice Location

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