Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 35120813 | OH |
N | 207RX0202X | Medical Oncology | 35120813 | OH |
N | 208D00000X | General Practice Physician | G85243 | CA |
NPI | 1215003843 |
---|---|
Provider Name | Charles F Von Gunten |
First Address | Dublin, OH 43016-4134 |
Second Address | Columbus, OH 43214-3463 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/11/2006 |
Last Update Date | 20/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0081409 | (05) | OH |
00G852430 | (05) | CA |
F59836 | (02) |