Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207PE0004X | Emergency Medical Services | MD0000046517 | TN |
N | 207R00000X | Internist | 250938 | MA |
N | 111NI0900X | Internist | 250938 | MA |
N | 207R00000X | Internist | MD0000046517 | TN |
N | 111NI0900X | Internist | MD0000046517 | TN |
Y | 207RX0202X | Medical Oncology | 250938 | MA |
N | 207RX0202X | Medical Oncology | 35.131455 | OH |
NPI | 1043484439 |
---|---|
Provider Name | Daniel G Stover |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43212-3117 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2008 |
Last Update Date | 07/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0231493 | (05) | OH |