Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 34005467 | OH |
NPI | 1043227374 |
---|---|
Provider Name | Cynthia Morris |
First Address | Washington Court House, OH 43160-3701 |
Second Address | Washington Court House, OH 43160-1899 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 17/12/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0178570 | (05) | OH |
G09727 | (02) |