Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 35.134739 | OH |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | M15103 | ID |
NPI | 1013398833 |
---|---|
Provider Name | Alexander Nelson Rock |
First Address | Columbus, OH 43212-3154 |
Second Address | Columbus, OH 43212-3154 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2015 |
Last Update Date | 13/03/2020 |